MEDICARE: DR. JITEN SOLANKI 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
1	122300000X	Dentist	DD5362	NM
2	122300000X	Dentist	39292	TX

General Provider Information

NPI Number	:	1295334050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JITEN SOLANKI DMD

Provider Business Mailing Address
First Line	:	2300 W ILLINOIS AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-1638
Country	:	US
Telephone Number	:	423-863-3899
Fax Number	:

Provider Business Practice Location Address
First Line	:	2300 W ILLINOIS AVE
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75224-1638
Country	:	US
Telephone Number	:	469-809-1919
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/22/2020
Last Update Date	:	04/16/2024

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