Provider Demographics
NPI:1891223202
Name:DHANKHAR, UJJWAL (DDS)
Entity type:Individual
Prefix:DR
First Name:UJJWAL
Middle Name:
Last Name:DHANKHAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5185 PEACHTREE PKWY STE 201
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-6539
Mailing Address - Country:US
Mailing Address - Phone:770-368-1110
Mailing Address - Fax:
Practice Address - Street 1:2711 MEDICAL CENTER PKWY
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3724
Practice Address - Country:US
Practice Address - Phone:615-617-6191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2024-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN225711223G0001X
GADN1226031223G0001X
TN112421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice