Provider Demographics
NPI:1750505327
Name:KEVIN A. KAVIANI, D.D.S.,P.A.
Entity Type:Organization
Organization Name:KEVIN A. KAVIANI, D.D.S.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:KAVIANI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:713-781-9444
Mailing Address - Street 1:10001 WESTHEIMER RD
Mailing Address - Street 2:STE 2920
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3151
Mailing Address - Country:US
Mailing Address - Phone:713-781-9444
Mailing Address - Fax:713-977-9257
Practice Address - Street 1:10001 WESTHEIMER
Practice Address - Street 2:STE 2920
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042
Practice Address - Country:US
Practice Address - Phone:713-781-9444
Practice Address - Fax:713-977-9257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2017-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty