Provider Demographics
NPI:1295334050
Name:SOLANKI, JITEN (DMD)
Entity type:Individual
Prefix:DR
First Name:JITEN
Middle Name:
Last Name:SOLANKI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 W ILLINOIS AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75224-1638
Mailing Address - Country:US
Mailing Address - Phone:423-863-3899
Mailing Address - Fax:
Practice Address - Street 1:2300 W ILLINOIS AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75224-1638
Practice Address - Country:US
Practice Address - Phone:469-809-1919
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-22
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDD5362122300000X
TX39292122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist