Provider Demographics
NPI:1477560977
Name:SUBRAMANIAN, ARVIND (DDS)
Entity type:Individual
Prefix:DR
First Name:ARVIND
Middle Name:
Last Name:SUBRAMANIAN
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 1:562 ALBANY SHAKER
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12211
Mailing Address - Country:US
Mailing Address - Phone:518-331-1186
Mailing Address - Fax:518-458-2190
Practice Address - Street 1:562 ALBANY SHAKER
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12211
Practice Address - Country:US
Practice Address - Phone:518-798-9561
Practice Address - Fax:518-458-2190
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0491201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice