Provider Demographics
NPI:1376983338
Name:DOSHI, AMIT (DMD)
Entity Type:Individual
Prefix:DR
First Name:AMIT
Middle Name:
Last Name:DOSHI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:689 CHATSWORTH HWY 225 NE
Mailing Address - Street 2:
Mailing Address - City:CALHOUN
Mailing Address - State:GA
Mailing Address - Zip Code:30701-9109
Mailing Address - Country:US
Mailing Address - Phone:770-548-5926
Mailing Address - Fax:
Practice Address - Street 1:5811 E BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-2813
Practice Address - Country:US
Practice Address - Phone:813-623-1014
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-04
Last Update Date:2013-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN202561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice