Provider Demographics
NPI:1649831157
Name:DHAKAR FAMILY DENTISTRY
Entity type:Organization
Organization Name:DHAKAR FAMILY DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SURYA
Authorized Official - Middle Name:PRAKASH
Authorized Official - Last Name:DHAKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-217-9820
Mailing Address - Street 1:10046 THREE NOTCH RD
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:VA
Mailing Address - Zip Code:22974-2811
Mailing Address - Country:US
Mailing Address - Phone:434-591-5074
Mailing Address - Fax:
Practice Address - Street 1:10046 THREE NOTCH RD
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:VA
Practice Address - Zip Code:22974-2811
Practice Address - Country:US
Practice Address - Phone:434-591-5074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DHAKAR FAMILY DENTISTRY, PLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty