Provider Demographics
NPI:1437859220
Name:CHARNASHEI, VIACHASLAU (DMD)
Entity Type:Individual
Prefix:DR
First Name:VIACHASLAU
Middle Name:
Last Name:CHARNASHEI
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 1:6606 MAPLESHADE LN APT 23B
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75252-8559
Mailing Address - Country:US
Mailing Address - Phone:469-321-5529
Mailing Address - Fax:
Practice Address - Street 1:2011 N HENDERSON AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-7321
Practice Address - Country:US
Practice Address - Phone:214-823-2182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-09
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX400781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice