Provider Demographics
NPI:1558520494
Name:VAKANI, ARVIND KENNETH (DMD, MS)
Entity Type:Individual
Prefix:MR
First Name:ARVIND
Middle Name:KENNETH
Last Name:VAKANI
Suffix:
Gender:M
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1963 SE FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-3915
Mailing Address - Country:US
Mailing Address - Phone:772-287-8415
Mailing Address - Fax:772-287-9976
Practice Address - Street 1:1963 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3915
Practice Address - Country:US
Practice Address - Phone:772-287-8415
Practice Address - Fax:772-287-9976
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN155101223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics