Provider Demographics
NPI:1487090171
Name:KULKARNI, PRIYANKA (DDS)
Entity type:Individual
Prefix:DR
First Name:PRIYANKA
Middle Name:
Last Name:KULKARNI
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 1:2708 RUSTIC RD
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-2016
Mailing Address - Country:US
Mailing Address - Phone:713-855-2706
Mailing Address - Fax:
Practice Address - Street 1:7130 W HEFNER RD
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-4502
Practice Address - Country:US
Practice Address - Phone:405-722-1234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-21
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29329122300000X
OK6517122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist