Provider Demographics
NPI:1831612332
Name:BHAKTA, VIKITA P (DDS)
Entity type:Individual
Prefix:
First Name:VIKITA
Middle Name:P
Last Name:BHAKTA
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 1:703 MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-5705
Mailing Address - Country:US
Mailing Address - Phone:407-767-0633
Mailing Address - Fax:407-767-6554
Practice Address - Street 1:703 MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-5705
Practice Address - Country:US
Practice Address - Phone:407-767-0633
Practice Address - Fax:407-767-6554
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN271201223G0001X
KS614501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice