MEDICARE: MK DENTAL STUDIO PLLC

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

General Provider Information

NPI Number	:	1104779305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MK DENTAL STUDIO PLLC

Provider Business Mailing Address
First Line	:	5900 BALCONES DR # 19918
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4257
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	401 VINTAGE LN
Second Line	:
City	:	BROOKSHIRE
State	:	TX
Zip	:	77423-3172
Country	:	US
Telephone Number	:	972-653-0522
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. MADIHA KHANANI
Credential	:	DDS
Telephone Number	:	972-653-0522

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “MK DENTAL STUDIO PLLC ” Practice Location

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