Active NPIIndividual providerSole proprietor

Dr. Tanmya S Ravi, DMD

Dentist, General Practice in Wellington, Florida

NPI Number1508179771
Practice location
12300 S Shore Blvd Ste 208, Wellington, FL 33414-6509
Fax
—
Last updated
January 7, 2021

Tanmya Stuti Ravi is a Dentist, General Practice based in Wellington, FL. Tanmya Stuti Ravi practices in Wellington, FL and has the professional credentials of DMD. The NPI Number for Tanmya Stuti Ravi is 1508179771 and holds a License No. 03791 (NH). The current practice location address for Tanmya Stuti Ravi is 12300 S Shore Blvd Ste 208, Wellington, FL 33414-6509 and can be reached out via phone at 561-204-4494.

Provider Profile Details

NPI Number
1508179771
Provider Name
Tanmya Stuti Ravi
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
12300 S Shore Blvd Ste 208, Wellington, FL 33414-6509
Phone Number
561-204-4494
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
July 16, 2010
Last Update Date
January 7, 2021
Certification Date
January 7, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
12300 S Shore Blvd Ste 208
Wellington, FL 33414-6509
State
Florida
Zip
33414-6509
Phone Number
561-204-4494
Wellington, FL 33414Get directions →

Provider Business Mailing Address Details

Address
12300 S Shore Blvd Ste 208
Wellington, FL 33414-6509
City
Wellington
State
FL
Zip
33414-6509
Phone Number
561-204-4494

License Information

License Number (1)
03791
License State (1)
NH
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
DN20033
License State (2)
FL
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Tanmya S Ravi, DMD?

The NPI number of Dr. Tanmya S Ravi, DMD is 1508179771. It was assigned on July 16, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Tanmya S Ravi, DMD?

Dr. Tanmya S Ravi, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NH under license number 03791.

Where does Dr. Tanmya S Ravi, DMD practice?

The practice location is 12300 S Shore Blvd Ste 208, Wellington, FL 33414-6509. The office can be reached at 561-204-4494 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508179771 directly on the NPPES registry website.

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