Dr. Shreya Tushar Thakkar, DMD
Dentist, General Practice in Northlake, TX. Individual provider (NPI-1).
NPI number1144891722
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1144891722
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shreya Tushar Thakkar
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2021
- Certification date
- Mar 20, 2024
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 40246 | TX | Yes |
| 1223G0001X | Dentist, General Practice | DE61180157 | WA |
Practice location
1500 Commons Cir Ste 100Northlake, TX 76226-2717
Phone 469-307-5093
Mailing address
6410 Escena Blvd Apt 2161Irving, TX 75039-4372
Phone 847-769-1836
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Other General Practice Dentistry providers in Northlake, TX
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- Pmp - Northlake PLLCNPI 1427913227
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- Today Dental Of NorthlakeNPI 1013694199
All 6 General Practice Dentistry providers in Northlake · All 87 providers in Northlake
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