Provider Demographics
NPI:1285464883
Name:DHAKAL, ADHIKAR
Entity type:Individual
Prefix:
First Name:ADHIKAR
Middle Name:
Last Name:DHAKAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5343 W ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-7153
Mailing Address - Country:US
Mailing Address - Phone:602-318-1660
Mailing Address - Fax:
Practice Address - Street 1:1403 W 10TH PL STE B119
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85281-5257
Practice Address - Country:US
Practice Address - Phone:623-584-4746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDN00049122400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122400000XDental ProvidersDenturist