Provider Demographics
NPI:1316028442
Name:MERCHANT, DHANLAXMI R (DDS)
Entity Type:Individual
Prefix:
First Name:DHANLAXMI
Middle Name:R
Last Name:MERCHANT
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 1:2525 S. RURAL ROAD, STE.2N
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-2441
Mailing Address - Country:US
Mailing Address - Phone:480-966-9936
Mailing Address - Fax:
Practice Address - Street 1:2525 S. RURAL ROAD, STE.2N
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-2441
Practice Address - Country:US
Practice Address - Phone:480-966-9936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD25351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice