Provider Demographics
NPI:1740541267
Name:TALSANIA, MANSI SIDDHARTH (DDS)
Entity type:Individual
Prefix:
First Name:MANSI
Middle Name:SIDDHARTH
Last Name:TALSANIA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:MANSI
Other - Middle Name:SHAILESH
Other - Last Name:PARIKH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BDS
Mailing Address - Street 1:2626 DAMES LANE
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3531
Mailing Address - Country:US
Mailing Address - Phone:012-962-5795
Mailing Address - Fax:
Practice Address - Street 1:908 AUDELIA RD #400
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-5150
Practice Address - Country:US
Practice Address - Phone:972-231-0799
Practice Address - Fax:972-231-7895
Is Sole Proprietor?:No
Enumeration Date:2012-05-31
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX286881223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX28354Medicaid