Provider Demographics
NPI:1710999610
Name:SAVANT, JULIE MARIE (DDS)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:SAVANT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:SAVANT
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:877 W FREMONT AVE C1
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087
Mailing Address - Country:US
Mailing Address - Phone:408-245-8030
Mailing Address - Fax:408-245-2849
Practice Address - Street 1:877 W FREMONT AVE C1
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087
Practice Address - Country:US
Practice Address - Phone:408-245-8030
Practice Address - Fax:408-245-2849
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA38461122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist