Provider Demographics
NPI:1811410616
Name:SANGANI, DHRUVEE (DDS, MPH)
Entity type:Individual
Prefix:DR
First Name:DHRUVEE
Middle Name:
Last Name:SANGANI
Suffix:
Gender:F
Credentials:DDS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14918 DINOSAUR TRACKS DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-4270
Mailing Address - Country:US
Mailing Address - Phone:609-339-5835
Mailing Address - Fax:
Practice Address - Street 1:31315 FM 2920 RD # A
Practice Address - Street 2:
Practice Address - City:WALLER
Practice Address - State:TX
Practice Address - Zip Code:77484-8049
Practice Address - Country:US
Practice Address - Phone:936-372-2673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-24
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX333181223G0001X
MO20180167571223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice