Provider Demographics
NPI:1437701018
Name:KHANANI FAMILY DENTAL P.C.
Entity Type:Organization
Organization Name:KHANANI FAMILY DENTAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SALMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KHANANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-353-4334
Mailing Address - Street 1:90 RIVERPATH DR APT 12
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-3996
Mailing Address - Country:US
Mailing Address - Phone:508-353-4334
Mailing Address - Fax:
Practice Address - Street 1:1084 MAIN ST
Practice Address - Street 2:
Practice Address - City:HOLDEN
Practice Address - State:MA
Practice Address - Zip Code:01520-1289
Practice Address - Country:US
Practice Address - Phone:508-353-4334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-12
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty