Provider Demographics
NPI:1407010135
Name:KULKARNI, SACHIN (DDS)
Entity Type:Individual
Prefix:
First Name:SACHIN
Middle Name:
Last Name:KULKARNI
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 1:1369 TALLEY LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-0647
Mailing Address - Country:US
Mailing Address - Phone:734-276-2199
Mailing Address - Fax:
Practice Address - Street 1:1369 TALLEY LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0647
Practice Address - Country:US
Practice Address - Phone:734-276-2199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26192122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist