Provider Demographics
NPI:1710318571
Name:SAWHNEY AND PADMANABHA FAMILY DENTISTRY
Entity Type:Organization
Organization Name:SAWHNEY AND PADMANABHA FAMILY DENTISTRY
Other - Org Name:LEROY/PAVIOLION DENTAL CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANIL
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAWHREY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:585-768-6060
Mailing Address - Street 1:20 LAKE STREET
Mailing Address - Street 2:
Mailing Address - City:LEROY
Mailing Address - State:NY
Mailing Address - Zip Code:14482
Mailing Address - Country:US
Mailing Address - Phone:585-768-6060
Mailing Address - Fax:585-768-2211
Practice Address - Street 1:20 LAKE ST.
Practice Address - Street 2:
Practice Address - City:LEROY
Practice Address - State:NY
Practice Address - Zip Code:14482
Practice Address - Country:US
Practice Address - Phone:585-768-6060
Practice Address - Fax:585-768-2211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY38022122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty