Provider Demographics
NPI:1528315439
Name:BRAHMBHATT, SNEHA (DDS)
Entity type:Individual
Prefix:
First Name:SNEHA
Middle Name:
Last Name:BRAHMBHATT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4417 SOUTH LANCASTER RD. SUITE 2275
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75216
Mailing Address - Country:US
Mailing Address - Phone:469-620-7445
Mailing Address - Fax:469-607-9229
Practice Address - Street 1:4417 SOUTH LANCASTER RD. STE 2275
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75216
Practice Address - Country:US
Practice Address - Phone:469-620-7445
Practice Address - Fax:469-607-9229
Is Sole Proprietor?:No
Enumeration Date:2012-08-09
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0108231223G0001X
TX287691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice