Provider Demographics
NPI:1588191787
Name:DHANANI, MILAN VINOD (DDS)
Entity Type:Individual
Prefix:DR
First Name:MILAN
Middle Name:VINOD
Last Name:DHANANI
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 1:6798 OAK HALL LN STE A1
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5167
Mailing Address - Country:US
Mailing Address - Phone:410-290-7757
Mailing Address - Fax:
Practice Address - Street 1:6798 OAK HALL LN STE A1
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5167
Practice Address - Country:US
Practice Address - Phone:410-290-7757
Practice Address - Fax:410-290-8182
Is Sole Proprietor?:No
Enumeration Date:2017-05-18
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014156731223S0112X
MD178991223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery