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Dr. Ravi C Maddali, DDS
General Practice Dentistry in New York, New York
NPI 1528014602

Ravi C Maddali is a General Practice Dentistry based in New York, NY and is specialized in General Practice. Ravi C Maddali practices in New York, NY and has the professional credentials of DDS. The NPI Number for Ravi C Maddali is 1528014602 and holds a License No. 045922 (New York).

The current practice location address for Ravi C Maddali is 639 W 173Rd St, New York, NY and can be reached out via phone at 212-928-4480 and via fax at 212-928-8389.

Location: 639 W 173Rd St, New York, NY, 10032-1425
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Provider Profile Details
NPI Number
1528014602
Provider Name
Ravi C Maddali
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
639 W 173Rd St, New York, NY, 10032-1425
Phone Number
212-928-4480
Fax Number
212-928-8389
Provider Enumeration Date
05/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01704829 05 NY
institution
Provider Business Practice Location Address Details
Address
639 W 173Rd St
City
State
Zip
10032-1425
Phone Number
212-928-4480
Fax Number
212-928-8389
person
Provider Business Mailing Address Details
Address
639 W 173Rd St
City
State
Zip
10032-1425
Phone Number
212-928-4480
Fax Number
212-928-8389
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
045922 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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