Provider Demographics
NPI:1831387141
Name:THUNTHY, KAVAS H (BDS, MS, MED)
Entity type:Individual
Prefix:DR
First Name:KAVAS
Middle Name:H
Last Name:THUNTHY
Suffix:
Gender:M
Credentials:BDS, MS, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 FLORIDA AVE, LSU SCHOOL OF DENTISTRY
Mailing Address - Street 2:DEPT. OF ORAL MEDICINE AND RADIOLOGY
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-2714
Mailing Address - Country:US
Mailing Address - Phone:504-941-8247
Mailing Address - Fax:
Practice Address - Street 1:1100 FLORIDA AVE, LSU SCHOOL OF DENTISTRY
Practice Address - Street 2:DEPT. OF ORAL MEDICINE AND RADIOLOGY
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-2714
Practice Address - Country:US
Practice Address - Phone:504-941-8247
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAP-281223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology