Provider Demographics
NPI:1851480602
Name:MUKHERJI, PARTHA (DDS)
Entity Type:Individual
Prefix:DR
First Name:PARTHA
Middle Name:
Last Name:MUKHERJI
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 1:7551 OAKMONT BLVD.
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132
Mailing Address - Country:US
Mailing Address - Phone:817-292-9348
Mailing Address - Fax:
Practice Address - Street 1:7200 RED HAWK CT
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4106
Practice Address - Country:US
Practice Address - Phone:817-294-8092
Practice Address - Fax:817-294-8692
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX20850122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist