MEDICARE: KANCHAN SMILES INC

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	261QD0000X	Dental Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578187035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KANCHAN SMILES INC

Provider Business Mailing Address
First Line	:	2063 JEFFERSON DAVIS HWY STE 1
Second Line	:
City	:	STAFFORD
State	:	VA
Zip	:	22554-7291
Country	:	US
Telephone Number	:	540-659-7515
Fax Number	:

Provider Business Practice Location Address
First Line	:	2063 RICHMOND HWY STE 1
Second Line	:
City	:	STAFFORD
State	:	VA
Zip	:	22554-7291
Country	:	US
Telephone Number	:	540-659-7515
Fax Number	:	540-720-2514

Authorized Official
Title or Position	:	DENTIST
Name	:	SACHIN V KARANDE
Credential	:
Telephone Number	:	732-688-5867

Provider Enumeration Date	:	06/01/2020
Last Update Date	:	12/16/2024

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Directions to “KANCHAN SMILES INC ” Practice Location

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