Provider Demographics
NPI:1548419849
Name:SANGHAVI, AVANTI HITEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:AVANTI
Middle Name:HITEN
Last Name:SANGHAVI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 E NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-3442
Mailing Address - Country:US
Mailing Address - Phone:847-392-4270
Mailing Address - Fax:847-590-1896
Practice Address - Street 1:724 E NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-3442
Practice Address - Country:US
Practice Address - Phone:847-392-4270
Practice Address - Fax:847-590-1896
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2016-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0190286221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice