Provider Demographics
NPI:1699017426
Name:RAMANI DENTISTRY PLLC
Entity Type:Organization
Organization Name:RAMANI DENTISTRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:DR
Authorized Official - First Name:PADMALEKHA
Authorized Official - Middle Name:B
Authorized Official - Last Name:RAMANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:248-255-8691
Mailing Address - Street 1:57116 10 MILE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-8327
Mailing Address - Country:US
Mailing Address - Phone:248-255-8691
Mailing Address - Fax:
Practice Address - Street 1:57116 10 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTH LYON
Practice Address - State:MI
Practice Address - Zip Code:48178-8327
Practice Address - Country:US
Practice Address - Phone:248-255-8691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901018327122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty