Provider Demographics
NPI:1982257689
Name:DENTAL STUDIO OF CARROLLTON
Entity Type:Organization
Organization Name:DENTAL STUDIO OF CARROLLTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SANDHYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRISHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-395-0150
Mailing Address - Street 1:2005 W HEBRON PKWY
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-6522
Mailing Address - Country:US
Mailing Address - Phone:972-395-0150
Mailing Address - Fax:972-395-0107
Practice Address - Street 1:2005 W HEBRON PKWY
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-6522
Practice Address - Country:US
Practice Address - Phone:972-395-0150
Practice Address - Fax:972-395-0107
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DENTAL STUDIO OF CARROLLTON
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-22
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies