Provider Demographics
NPI:1811209844
Name:RAMAKRISHNAN, AARTHI (DMD)
Entity Type:Individual
Prefix:DR
First Name:AARTHI
Middle Name:
Last Name:RAMAKRISHNAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5005 RIVERSIDE DR STE A
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-1380
Mailing Address - Country:US
Mailing Address - Phone:478-405-0664
Mailing Address - Fax:
Practice Address - Street 1:5005 RIVERSIDE DR STE A
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-1380
Practice Address - Country:US
Practice Address - Phone:478-405-0664
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-07
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX357661223G0001X
OH300232871223G0001X
GADN1225541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice