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NPI Code Detail

MEDICARE: DR. PRIYANKA HARDIK DHOLU DMD

MEDICARE: DR. PRIYANKA HARDIK DHOLU DMD
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
11223G0001XGeneral Practice Dentistry12014128AIN

General Provider Information

NPI Number : 1669166088
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PRIYANKA HARDIK DHOLU DMD
Provider Business Mailing Address
First Line : 3900 PALMETTO CIR
Second Line :
City : ZIONSVILLE
State : IN
Zip : 46077-8060
Country : US
Telephone Number : 317-719-7251
Fax Number :
Provider Business Practice Location Address
First Line : 5470 LAFAYETTE RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46254-1620
Country : US
Telephone Number : 317-993-7635
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/07/2023
Last Update Date : 03/06/2026

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