Provider Demographics
NPI:1275647463
Name:JANGDHARI, K. S. WENDY (DDS)
Entity Type:Individual
Prefix:DR
First Name:K. S. WENDY
Middle Name:
Last Name:JANGDHARI
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 1:521 E TRINITY LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37207-4705
Mailing Address - Country:US
Mailing Address - Phone:615-226-5250
Mailing Address - Fax:
Practice Address - Street 1:521 E TRINITY LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37207-4705
Practice Address - Country:US
Practice Address - Phone:615-226-5250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN DS 43801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN861883OtherUNITED CONCORDIA
TN0054816OtherBLUE CROSS BLUE SHIELD TN