Provider Demographics
NPI:1417511627
Name:TUSK ORTHODONTICS PLLC
Entity Type:Organization
Organization Name:TUSK ORTHODONTICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:KUMAR
Authorized Official - Last Name:SAWHNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MSD, PHD
Authorized Official - Phone:202-236-4339
Mailing Address - Street 1:3830 10TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5708
Mailing Address - Country:US
Mailing Address - Phone:202-236-4339
Mailing Address - Fax:
Practice Address - Street 1:3900 KANSAS AVE NW STE 101
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5712
Practice Address - Country:US
Practice Address - Phone:202-505-5373
Practice Address - Fax:866-713-2362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-24
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty