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KINNARI PRAJAPATI D.D.S. PA NPI 1417085242


NPI Information

NPI: 1417085242
Provider Name: KINNARI PRAJAPATI, D.D.S., PA

Doing Business As: CANYON CREEK DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 45D2188353

Address:
1618 CANYON CREEK DR
SUITE 110
TEMPLE, TX
ZIP 76502
Phone: (254) 771-5900
Get Directions

KINNARI PRAJAPATI, D.D.S., PA is a general practice dentist in Temple, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KINNARI PRAJAPATI, D.D.S., PA NPI is 1417085242. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Canyon Creek Dentistry.

The provider's business location address is:

1618 CANYON CREEK DR
SUITE 110
TEMPLE, TX
ZIP 76502-275
Phone: (254) 771-5900
Fax: (254) 771-5380

The provider's authorized official is Kinnari Prajapati .
The authorized official title is President and has the following contact phone number (254) 771-5900.

The CLIA number assigned to this NPI record is 45D2188353 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice20617TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101361994OTHERTEXASUC
2B20617OTHERTEXASBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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