Provider Demographics
NPI:1255358966
Name:GHIA, KINNARI JAYESH (DDS)
Entity type:Individual
Prefix:DR
First Name:KINNARI
Middle Name:JAYESH
Last Name:GHIA
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 1:4501 CALL FIELD RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76308-2447
Mailing Address - Country:US
Mailing Address - Phone:940-692-8411
Mailing Address - Fax:940-692-8428
Practice Address - Street 1:4501 CALL FIELD RD
Practice Address - Street 2:
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76308-2447
Practice Address - Country:US
Practice Address - Phone:940-692-8411
Practice Address - Fax:940-692-8428
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2024-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA482731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice