Ankita Aggarwal, DDS, PHD
Individual provider Active NPI General Practice Dentistry · Dallas, GA
NPI 1811566946 · NPPES record last updated Jun 23, 2021
Key facts
- NPI
- 1811566946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DN122265 (GA)
- Practice address
- 457 Nathan Dean Blvd Ste 109
Dallas, GA 30132-4911 - Phone
- (678) 674-7176
- NPI assigned
- Jun 23, 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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN122265 | GA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN122265 | GA | |
| General Practice Dentistry | 1223G0001X | DN122265 | GA | Yes |
Addresses
Primary practice location
457 Nathan Dean Blvd Ste 109
Dallas, GA 30132-4911
Mailing address
457 Nathan Dean Blvd Ste 109
Dallas, GA 30132-4911
Other providers in Dallas, GA
- Alexandra Accimeus
- Jennifer Acevedo
- Olukemi Esther Adesanya
- Advanced Urology Institute of Georgia, PC
- Aftercare Health Services
- Joyce Ahrens
- Bolatito E Akinkunmi
- Emmanuel Akinosho
- Baindu Nallo Akinrotiba
- Mary Blaydes Alexander
All providers in Dallas, GA · General Practice Dentistry in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 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.