Basic Information
Provider Information
NPI: 1548486996
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAWHNEY
FirstName: RAVI
MiddleName: KUMAR
NamePrefix: DR.
NameSuffix:  
Credential: DDS, MSD, PHD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 16 ARCADE UNIT 198747
Address2:  
City: NASHVILLE
State: TN
PostalCode: 372191994
CountryCode: US
TelephoneNumber: 6157500343
FaxNumber: 6159861705
Practice Location
Address1: 3401 GEORGIA AVE NW
Address2: SMALL SMILES DENTAL CENTERS OF WASHINGTON, DC
City: WASHINGTON
State: DC
PostalCode: 200102501
CountryCode: US
TelephoneNumber: 2028295437
FaxNumber: 2028299255
Other Information
ProviderEnumerationDate: 04/17/2007
LastUpdateDate: 02/03/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1223X0400X6465NCN Dental ProvidersDentistOrthodontics and Dentofacial Orthopedics
1223X0400XDEN1001276DCY Dental ProvidersDentistOrthodontics and Dentofacial Orthopedics

No ID Information.


Home