Provider Demographics
NPI:1437968617
Name:AMANI PEDIATRIC DENTISTRY PLLC
Entity type:Organization
Organization Name:AMANI PEDIATRIC DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:MACHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:737-363-4200
Mailing Address - Street 1:2875 W WHITESTONE BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-8004
Mailing Address - Country:US
Mailing Address - Phone:737-363-4200
Mailing Address - Fax:737-363-4201
Practice Address - Street 1:2875 W WHITESTONE BLVD STE 120
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-8004
Practice Address - Country:US
Practice Address - Phone:737-363-4200
Practice Address - Fax:737-363-4201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-02
Last Update Date:2025-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty