Provider Demographics
NPI:1164687372
Name:KARTHIK, ARATHI (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARATHI
Middle Name:
Last Name:KARTHIK
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:ARATHI
Other - Middle Name:RATHNAKER
Other - Last Name:KUMBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:243 SERENITY CT
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-5819
Mailing Address - Country:US
Mailing Address - Phone:817-946-1491
Mailing Address - Fax:
Practice Address - Street 1:3733 N BELT LINE RD
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75038-5702
Practice Address - Country:US
Practice Address - Phone:469-398-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-28
Last Update Date:2019-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222131223G0001X
TX257211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice