Provider Demographics
NPI:1528871233
Name:VACHHANI, BHAKTI (DDS)
Entity type:Individual
Prefix:
First Name:BHAKTI
Middle Name:
Last Name:VACHHANI
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 1:650 TOFTREES AVE APT 301
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-1978
Mailing Address - Country:US
Mailing Address - Phone:248-881-8887
Mailing Address - Fax:
Practice Address - Street 1:432 ROLLING RIDGE DR STE 1
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801-7640
Practice Address - Country:US
Practice Address - Phone:814-237-1777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-28
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0449611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice