Individual provider · Type 1 NPI
Ravi C. Maddali, D.D.S
General Practice Dentistry · New York, NY
NPI number
1528014602
Active
Practice location
639 W 173rd St, Suite # 1 A
New York, NY 10032-1425
Fax (212) 928-8389
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 045922 (NY) |
General Practice Dentistry: 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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About NPI 1528014602
Ravi C. Maddali, D.D.S's National Provider Identifier is 1528014602, issued on May 26, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in New York, NY. The record was last updated on Jul 9, 2007.