Provider Demographics
NPI:1457906406
Name:ANAYANSH PLLC
Entity Type:Organization
Organization Name:ANAYANSH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SWAPNIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:MAHENDRAKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:940-231-0469
Mailing Address - Street 1:1408 LAUREL LN
Mailing Address - Street 2:
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-3573
Mailing Address - Country:US
Mailing Address - Phone:940-231-0469
Mailing Address - Fax:
Practice Address - Street 1:2636 TIBBETS DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6919
Practice Address - Country:US
Practice Address - Phone:940-231-0469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty