Healthcare Provider Details

I. General information

NPI: 1811512809
Provider Name (Legal Business Name): ANIKA SOLANKI DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2020
Last Update Date: 08/13/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

182 CENTRAL ST
HUDSON NH
03051-4651
US

IV. Provider business mailing address

9807 161ST AVE
HOWARD BEACH NY
11414-3832
US

V. Phone/Fax

Practice location:
  • Phone: 603-882-5455
  • Fax:
Mailing address:
  • Phone: 917-733-9267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number04752
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: