Provider Demographics
NPI:1376661884
Name:VAKIL, KAUSHAL (DDS)
Entity Type:Individual
Prefix:
First Name:KAUSHAL
Middle Name:
Last Name:VAKIL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4437 DOROTHY ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5610
Mailing Address - Country:US
Mailing Address - Phone:832-545-6692
Mailing Address - Fax:281-855-7785
Practice Address - Street 1:15614 FM 529 RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-2706
Practice Address - Country:US
Practice Address - Phone:281-856-6300
Practice Address - Fax:281-855-7785
Is Sole Proprietor?:No
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX197741223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice