Provider Demographics
NPI:1861707572
Name:BHARWANI, GIRISH JAI (DDS)
Entity type:Individual
Prefix:DR
First Name:GIRISH
Middle Name:JAI
Last Name:BHARWANI
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 1:14441 MEMORIAL DR STE 18
Mailing Address - Street 2:NOTTINGHAM FOREST PROFESSIONAL CEMTER
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-6738
Mailing Address - Country:US
Mailing Address - Phone:281-493-1083
Mailing Address - Fax:
Practice Address - Street 1:736 TELEPHONE RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77023-3118
Practice Address - Country:US
Practice Address - Phone:713-926-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-18
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26318122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist