Healthcare Provider Details

I. General information

NPI: 1417371923
Provider Name (Legal Business Name): YASHASHRI URANKAR DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2014
Last Update Date: 02/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3302 GASTON AVE
DALLAS TX
75246-2013
US

IV. Provider business mailing address

2732 GASTON AVE APT 513
DALLAS TX
75226-2718
US

V. Phone/Fax

Practice location:
  • Phone: 214-828-8402
  • Fax:
Mailing address:
  • Phone: 626-399-4490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number27507
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number27507
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: