Provider Demographics
NPI:1437271533
Name:KARANKI, ARCHANA (DMD)
Entity Type:Individual
Prefix:DR
First Name:ARCHANA
Middle Name:
Last Name:KARANKI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 SPYGLASS CIR
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-6218
Mailing Address - Country:US
Mailing Address - Phone:860-440-6163
Mailing Address - Fax:
Practice Address - Street 1:339 FLANDERS RD
Practice Address - Street 2:SUITE 105
Practice Address - City:EAST LYME
Practice Address - State:CT
Practice Address - Zip Code:06333-1700
Practice Address - Country:US
Practice Address - Phone:860-691-0025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0096061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice