MEDICARE: SHRUTA LAKHANI DDS

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	122300000X	Dentist	39164	TX

General Provider Information

NPI Number	:	1477179364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHRUTA LAKHANI DDS

Provider Business Mailing Address
First Line	:	420 E FM 2410 RD STE 104
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-5718
Country	:	US
Telephone Number	:	713-517-4758
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 E FM 2410 RD STE 104
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-5718
Country	:	US
Telephone Number	:	713-517-4758
Fax Number	:

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

Provider Enumeration Date	:	06/17/2020
Last Update Date	:	01/13/2026

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