Individual provider Active NPI

Ujjwal Dhankhar, D.D.S

  • General Practice Dentistry
  • Murfreesboro, TN
National Provider Identifier
1891223202
Registry record updated May 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11242 Issued in TN
Practice address
2711 Medical Center Pkwy
Murfreesboro, TN 37129-3724
Phone
(615) 617-6191
NPI assigned
May 30, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN22571 FL
General Practice Dentistry 1223G0001X DN122603 GA
General Practice Dentistry 1223G0001X 11242 TN Primary

Addresses

Primary practice location

2711 Medical Center Pkwy
Murfreesboro, TN 37129-3724

Mailing address

5185 Peachtree Pkwy Ste 201
Norcross, GA 30092-6539
Phone (770) 368-1110

Other practice location 1

2707 Tampa Rd
Palm Harbor, FL 34684-3312
Phone (727) 784-2721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN22571FLMDGeneral Practice Dentistry
DN122603GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Dental Professionals, PC General Practice CurrentSince Jun 2, 2024 Accepting new patients

Locations

5185 Peachtree Pkwy
Ste 201
Norcross, GA 30092
Phone (770) 368-1110

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716681600000",
    "number": "1891223202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 PEACHTREE PKWY STE 201",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300926539",
            "telephone_number": "770-368-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 MEDICAL CENTER PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293724",
            "telephone_number": "615-617-6191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 Tampa Rd",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346843312",
            "country_code": "US",
            "telephone_number": "727-784-2721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DHANKHAR",
        "first_name": "UJJWAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2024-05-26",
        "certification_date": "2024-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22571",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN122603",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.