Provider Demographics
NPI:1588080105
Name:KARSALIA, ANKIT VINOD (DMD)
Entity type:Individual
Prefix:MR
First Name:ANKIT
Middle Name:VINOD
Last Name:KARSALIA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 DEKALB PIKE
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-1813
Mailing Address - Country:US
Mailing Address - Phone:610-278-0420
Mailing Address - Fax:610-278-6938
Practice Address - Street 1:1115 DEKALB PIKE
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-1813
Practice Address - Country:US
Practice Address - Phone:610-278-0420
Practice Address - Fax:610-278-6938
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS039557122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist