Provider Demographics
NPI:1548274806
Name:DHANKHAR, AJAY (DDS)
Entity type:Individual
Prefix:DR
First Name:AJAY
Middle Name:
Last Name:DHANKHAR
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 BENALLA DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75036-3992
Mailing Address - Country:US
Mailing Address - Phone:469-287-7877
Mailing Address - Fax:469-287-7876
Practice Address - Street 1:851 BENALLA DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75036-3992
Practice Address - Country:US
Practice Address - Phone:469-287-7877
Practice Address - Fax:469-287-7876
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000098381223G0001X
TX220221223D0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0004XDental ProvidersDentistDental Anesthesiology
No1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5047493Medicaid