Individual
KARAN THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1805 EPPS BRIDGE PKWY STE 101, ATHENS, GA 30606-6127
(706) 549-0108
Mailing address
871 VALLA CRUCIS LN, DACULA, GA 30019-6733
(678) 575-4084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123956
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2023
Last updated
09/10/2025
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