Provider Demographics
NPI:1689110009
Name:KARANJKAR DENTAL CARE PLLC
Entity Type:Organization
Organization Name:KARANJKAR DENTAL CARE PLLC
Other - Org Name:SMILES N MORE DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NEHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARANJKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:979-330-1070
Mailing Address - Street 1:1019 EMERALD DOVE AVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-6163
Mailing Address - Country:US
Mailing Address - Phone:979-739-3031
Mailing Address - Fax:
Practice Address - Street 1:4400 STATE HIGHWAY 6 S
Practice Address - Street 2:SUITE 300
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-4427
Practice Address - Country:US
Practice Address - Phone:979-330-1070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-09
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX291691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1730520222OtherNPPES (INDIVIDUAL NPI)