Provider Demographics
NPI:1043425986
Name:MURALI R. RAVEL, D.M.D., P.C.
Entity Type:Organization
Organization Name:MURALI R. RAVEL, D.M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MURALI
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAVEL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:603-472-3400
Mailing Address - Street 1:360 ROUTE 101
Mailing Address - Street 2:SUITE 14
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-5030
Mailing Address - Country:US
Mailing Address - Phone:603-472-3400
Mailing Address - Fax:603-472-3917
Practice Address - Street 1:360 ROUTE 101
Practice Address - Street 2:SUITE 14
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-5030
Practice Address - Country:US
Practice Address - Phone:603-472-3400
Practice Address - Fax:603-472-3917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH3313122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty