Provider Demographics
NPI:1053508754
Name:KALPANA KAVETI PC
Entity Type:Organization
Organization Name:KALPANA KAVETI PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KALPANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAVETI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-335-1581
Mailing Address - Street 1:8 HERITAGE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-1105
Mailing Address - Country:US
Mailing Address - Phone:617-335-1581
Mailing Address - Fax:
Practice Address - Street 1:347 MASS AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474-6740
Practice Address - Country:US
Practice Address - Phone:781-643-7050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-27
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA204281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty