Provider Demographics
NPI:1114156981
Name:JULURI, RAVICHANDRA (DDS,MS)
Entity Type:Individual
Prefix:DR
First Name:RAVICHANDRA
Middle Name:
Last Name:JULURI
Suffix:
Gender:M
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 HILLMEADE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-2262
Mailing Address - Country:US
Mailing Address - Phone:646-238-6196
Mailing Address - Fax:615-327-6246
Practice Address - Street 1:1005 DR. D. B. TODD JR. BLVD
Practice Address - Street 2:PERIODONTICS
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37208-3599
Practice Address - Country:US
Practice Address - Phone:615-327-6014
Practice Address - Fax:615-327-6246
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN89301223P0300X
VA04014123081223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics