Provider Demographics
NPI:1215378468
Name:GULATI, YUKTI (DDS)
Entity Type:Individual
Prefix:DR
First Name:YUKTI
Middle Name:
Last Name:GULATI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19341 US HIGHWAY 19 N APT 316
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33764-3302
Mailing Address - Country:US
Mailing Address - Phone:415-900-8060
Mailing Address - Fax:
Practice Address - Street 1:4300 4TH ST N STE A
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-4700
Practice Address - Country:US
Practice Address - Phone:727-245-0525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL24824122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist