MEDICARE: DR. VARUN VASHISHT 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	1223G0001X	General Practice Dentistry	26427	TX

General Provider Information

NPI Number	:	1497045934
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VARUN VASHISHT DDS

Provider Business Mailing Address
First Line	:	1000 N MIDKIFF RD
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79701-2101
Country	:	US
Telephone Number	:	432-897-0910
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 N MIDKIFF RD
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79701-2101
Country	:	US
Telephone Number	:	432-897-0910
Fax Number	:

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

Provider Enumeration Date	:	04/18/2011
Last Update Date	:	07/16/2012

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Directions to “ DR. VARUN VASHISHT DDS” Practice Location

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