Provider Demographics
NPI:1891428629
Name:SAHA, RAMAN (DDS)
Entity Type:Individual
Prefix:
First Name:RAMAN
Middle Name:
Last Name:SAHA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 258841
Mailing Address - Street 2:DEPT 2
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73125
Mailing Address - Country:US
Mailing Address - Phone:877-667-7669
Mailing Address - Fax:888-920-7457
Practice Address - Street 1:4449 BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-3435
Practice Address - Country:US
Practice Address - Phone:972-240-0400
Practice Address - Fax:972-240-0676
Is Sole Proprietor?:No
Enumeration Date:2022-07-08
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX384911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice