Provider Demographics
NPI:1033715321
Name:RASHMI AMBEWADIKAR DDS, PLLC
Entity Type:Organization
Organization Name:RASHMI AMBEWADIKAR DDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHMI
Authorized Official - Middle Name:V
Authorized Official - Last Name:AMBEWADIKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-832-7177
Mailing Address - Street 1:3044 29TH ST APT 1D
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-2522
Mailing Address - Country:US
Mailing Address - Phone:917-832-7177
Mailing Address - Fax:646-503-6626
Practice Address - Street 1:3044 29TH ST APT 1D
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2522
Practice Address - Country:US
Practice Address - Phone:917-832-7177
Practice Address - Fax:646-503-6626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-10
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty