MEDICARE: ARJUN DHANNY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	1002713-15	WI

General Provider Information

NPI Number	:	1396408845
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARJUN DHANNY

Provider Business Mailing Address
First Line	:	1010 E WASHINGTON AVE APT 809
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53703-4414
Country	:	US
Telephone Number	:	618-614-0812
Fax Number	:

Provider Business Practice Location Address
First Line	:	1853 NORTHPORT DR
Second Line	:
City	:	MADISON
State	:	WI
Zip	:	53704-3027
Country	:	US
Telephone Number	:	608-422-4746
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2021
Last Update Date	:	10/20/2021

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Directions to “ ARJUN DHANNY ” Practice Location

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