Provider Demographics
NPI:1962659821
Name:KULKARNI, MEENAL (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEENAL
Middle Name:
Last Name:KULKARNI
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 1:54 MAIN ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-3009
Mailing Address - Country:US
Mailing Address - Phone:203-790-0111
Mailing Address - Fax:203-797-0822
Practice Address - Street 1:54 MAIN ST
Practice Address - Street 2:SUITE F
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-3009
Practice Address - Country:US
Practice Address - Phone:203-790-0111
Practice Address - Fax:203-797-0822
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-22
Last Update Date:2008-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0099021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice