Provider Demographics
NPI:1598838427
Name:DAVE, URVI A (DDS)
Entity Type:Individual
Prefix:DR
First Name:URVI
Middle Name:A
Last Name:DAVE
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 1:14001 N 7TH ST
Mailing Address - Street 2:D108
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022
Mailing Address - Country:US
Mailing Address - Phone:602-866-8800
Mailing Address - Fax:602-866-0804
Practice Address - Street 1:14001 N 7TH ST
Practice Address - Street 2:D108
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022
Practice Address - Country:US
Practice Address - Phone:602-866-8800
Practice Address - Fax:602-866-0804
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD3977122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist