Provider Demographics
NPI:1467578955
Name:ARUN J MADHANI DDS LLC
Entity Type:Organization
Organization Name:ARUN J MADHANI DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:J
Authorized Official - Last Name:MADHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-888-0700
Mailing Address - Street 1:56 GARDEN STREET
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:CT
Mailing Address - Zip Code:06483-2961
Mailing Address - Country:US
Mailing Address - Phone:203-888-0700
Mailing Address - Fax:203-888-6070
Practice Address - Street 1:56 GARDEN STREET
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:CT
Practice Address - Zip Code:06483-2961
Practice Address - Country:US
Practice Address - Phone:203-888-0700
Practice Address - Fax:203-888-6070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4392122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty