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General NPI Number Information
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NPI Number | 1295353696
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Entity Type | Individual
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Provider Name | DHIREN KSHATRI DDS
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Gender | Male
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Dates
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Enumeration Date | 07/12/2020
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 6888 GOODMAN RD STE 123
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-8761
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Country | US
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Telephone | 662-782-5274
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Fax |
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Provider Business Mailing Address
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Address Line | 6765 ALDWYCH DR
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City | GERMANTOWN
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State | TN
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Zip | 38138-0633
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Country | US
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Telephone | 423-322-6938
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 11344
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 418021
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License Number State | MS
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