Provider Demographics
NPI:1992227219
Name:SAWLANI, KANCHAN (DDS)
Entity type:Individual
Prefix:
First Name:KANCHAN
Middle Name:
Last Name:SAWLANI
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 1:101 SEAGRAVES RD
Mailing Address - Street 2:
Mailing Address - City:BROWNFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:79316-5447
Mailing Address - Country:US
Mailing Address - Phone:806-636-5555
Mailing Address - Fax:806-636-5558
Practice Address - Street 1:101 SEAGRAVES RD
Practice Address - Street 2:
Practice Address - City:BROWNFIELD
Practice Address - State:TX
Practice Address - Zip Code:79316-5447
Practice Address - Country:US
Practice Address - Phone:806-636-5555
Practice Address - Fax:806-636-5558
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX332271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX33227OtherLICENSE