Provider Demographics
NPI:1699764241
Name:NADKARNI, TRUPTI D (DMD)
Entity type:Individual
Prefix:DR
First Name:TRUPTI
Middle Name:D
Last Name:NADKARNI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5690 W. CHANDLER BLVD
Mailing Address - Street 2:SUITE #1
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226
Mailing Address - Country:US
Mailing Address - Phone:480-753-1111
Mailing Address - Fax:480-763-1112
Practice Address - Street 1:5690 W CHANDLER BLVD STE 1
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226
Practice Address - Country:US
Practice Address - Phone:480-753-1111
Practice Address - Fax:480-763-1112
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-17
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0190251801223G0001X
AZD66681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice