National Provider Identifier
Mansukhlal Jivandas Thakrar, DDS
Mansukhlal Jivandas Thakrar, DDS is listed in the NPPES registry with a primary specialty of Pediatric Dentistry in Fairport, NY and a listed phone number of (585) 223-5480.
Profile Overview
- NPI
- 1659404929
- Provider Type
- Individual
- Primary Specialty
- Pediatric Dentistry
- Enumeration Date
- March 14, 2007
- Last Updated
- July 08, 2007
Practice Location
- 124 Fairport Village Lndg
- Fairport, NY 14450-1804
Phone: (585) 223-5480
Specialties
- Pediatric Dentistry (1223P0221X)
Full Record
- NPI
- 1659404929
- Entity Type
- Individual
- Last Name
- Thakrar
- First Name
- Mansukhlal
- Middle Name
- Jivandas
- Name Prefix
- Dr.
- Credential
- DDS
- Provider Other Last Name
- Thakrar
- Provider Other First Name
- Manu
- Provider Other Middle Name
- Jivandas
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- DDS
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 124 Fairport Village Lndg
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1804
- Mailing Country
- US
- Mailing Phone
- (585) 223-5480
- Practice Street Address
- 124 Fairport Village Lndg
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1804
- Practice Country
- US
- Practice Phone
- (585) 223-5480
- Enumeration Date
- March 14, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Dentistry (1223P0221X)