Provider Demographics
NPI:1578725446
Name:ARANY, PRAVEEN RAVINDRA (BDS)
Entity Type:Individual
Prefix:DR
First Name:PRAVEEN
Middle Name:RAVINDRA
Last Name:ARANY
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 FRANCIS ST
Mailing Address - Street 2:BRIGHAM DENTAL GROUP
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-6110
Mailing Address - Country:US
Mailing Address - Phone:617-785-1868
Mailing Address - Fax:617-495-8534
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:BRIGHAM DENTAL GROUP
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-785-1868
Practice Address - Fax:617-495-8534
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10039390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program