Krishnakamal C Mehta
Dental Public Health
3641 Connally Dr
Marianna
, Florida 32446-7972
Krishnakamal C Mehta
Dental Public Health
3641 Connally Dr
Marianna
, Florida 32446-7972
(915) 235-1178
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Krishnakamal C Mehta
- 3655 Webb Rd
- Marianna, FL
- Zip : 32446-8047
- Phone : (915) 235-1178
Second Address
- Krishnakamal C Mehta
- 3641 Connally Dr
- Marianna, FL
- Zip : 32446-7972
- Phone : (321) 634-6392
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 10953 | FL |
National Provider Identifier
| NPI | 1275640963 |
|---|---|
| Provider Name | Krishnakamal C Mehta |
| First Address | Marianna, FL 32446-8047 |
| Second Address | Marianna, FL 32446-7972 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2006 |
| Last Update Date | 05/02/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.