Provider Demographics
NPI:1235493487
Name:SAVABI, KURUSH (DDS)
Entity Type:Individual
Prefix:
First Name:KURUSH
Middle Name:
Last Name:SAVABI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 N MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-4126
Mailing Address - Country:US
Mailing Address - Phone:317-881-4305
Mailing Address - Fax:
Practice Address - Street 1:701 N MADISON AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-4126
Practice Address - Country:US
Practice Address - Phone:317-881-4305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2020-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011832A122300000X
FLDN 21051122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist