Provider Demographics
NPI:1912451972
Name:KULKARNI, ADITI (BDS, MS)
Entity Type:Individual
Prefix:
First Name:ADITI
Middle Name:
Last Name:KULKARNI
Suffix:
Gender:F
Credentials:BDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 YALE PL
Mailing Address - Street 2:APT 109
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55403-2151
Mailing Address - Country:US
Mailing Address - Phone:317-476-4010
Mailing Address - Fax:
Practice Address - Street 1:4800 NICOLLET AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-5511
Practice Address - Country:US
Practice Address - Phone:612-822-2176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-08
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNS1121223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics