Provider Demographics
NPI:1710147137
Name:BHAKTA, SEEMA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SEEMA
Middle Name:
Last Name:BHAKTA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 S CENTRAL EXPY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-4512
Mailing Address - Country:US
Mailing Address - Phone:972-924-4400
Mailing Address - Fax:888-459-7791
Practice Address - Street 1:804 S CENTRAL EXPY
Practice Address - Street 2:SUITE 201
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-4512
Practice Address - Country:US
Practice Address - Phone:972-924-4400
Practice Address - Fax:888-459-7791
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX238601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice