Provider Demographics
NPI:1841997103
Name:AVHALE, ARCHANA AMIT (DDS)
Entity type:Individual
Prefix:DR
First Name:ARCHANA
Middle Name:AMIT
Last Name:AVHALE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ARCHANA
Other - Middle Name:H
Other - Last Name:NARWADE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26735 RICHWOOD OAKS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2091
Mailing Address - Country:US
Mailing Address - Phone:269-930-2760
Mailing Address - Fax:
Practice Address - Street 1:26735 RICHWOOD OAKS DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2091
Practice Address - Country:US
Practice Address - Phone:269-930-2760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX392751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice