Provider Demographics
NPI:1265644900
Name:KHANKARI, NITIN B (BDS, MS)
Entity Type:Individual
Prefix:DR
First Name:NITIN
Middle Name:B
Last Name:KHANKARI
Suffix:
Gender:M
Credentials:BDS, MS
Other - Prefix:
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:100 MARINA DR APT 102
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02171-1532
Mailing Address - Country:US
Mailing Address - Phone:617-331-1858
Mailing Address - Fax:
Practice Address - Street 1:1 KNEELAND ST FL 8
Practice Address - Street 2:TUFTS DENTAL ASSOCIATES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1527
Practice Address - Country:US
Practice Address - Phone:617-636-6678
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA91901223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics