Kiran Srinivas Bhandarkar, DDS
Individual provider Active NPI General Practice Dentistry · Seminole, TX
NPI 1780351817 · NPPES record last updated Aug 30, 2021
Key facts
- NPI
- 1780351817
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 37734 (TX)
- Practice address
- 705 Hobbs Hwy
Seminole, TX 79360 - Phone
- (432) 245-1100
- NPI assigned
- Aug 26, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37734 | TX | Yes |
Addresses
Primary practice location
705 Hobbs Hwy
Seminole, TX 79360
Mailing address
200 SE Avenue G Apt 211
Seminole, TX 79360-5185
Phone (817) 687-8067
Other providers in Seminole, TX
- Perrin Shalea Addison
- Tanwani M Agwe
- Armand L. Wiltz, M.D., P.a.
- Billie Jo Armstrong
- Elva Berryhill
- Kara N Bradford
- Shelby Bradshaw
- City of Seminole
- Sara Cox
- Anna Driedger
All providers in Seminole, TX · General Practice Dentistry in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.