Provider Demographics
NPI:1700529203
Name:DIXIT, KRATIKA (BDS, MDS, MSD)
Entity type:Individual
Prefix:DR
First Name:KRATIKA
Middle Name:
Last Name:DIXIT
Suffix:
Gender:F
Credentials:BDS, MDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5427 GURLEY AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75223-1850
Mailing Address - Country:US
Mailing Address - Phone:502-751-3681
Mailing Address - Fax:
Practice Address - Street 1:5427 GURLEY AVE
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75223-1850
Practice Address - Country:US
Practice Address - Phone:502-751-3681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX410131223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry