Shadi Ravon in Los Gatos - Dentist

Shadi Ravon - NPI 1780772384

Shadi Ravon is a Dentist in Los Gatos, California. Shadi Ravon practices all healthcare services and medical treatments related to Dentist. The NPI Number for Shadi Ravon is 1780772384. The last update date is 2022-01-13.

Shadi Ravon's current location address is 104 Kathy Ct, Los Gatos, California. You can contact this provider via phone number 4086853352. The mailing address for Shadi Ravon is 104 Kathy Ct, Los Gatos, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Shadi Ravon
Address 104 Kathy Ct, Los Gatos, California
Phone Number 4086853352
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1780772384
Provider Enumeration Date 2006-10-10
Last Updated Date 2022-01-13

Provider Mailing Address Detail

Address 104 Kathy Ct
City Los Gatos
State California (CA)
Post Code 950321607
Phone Number 4086853352
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 47624
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

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FAQs about Shadi Ravon

What is the unique provider identifier assigned to Shadi Ravon?

The Shadi Ravon has been issued the NPI (National Provider Identifier) 1780772384 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Shadi Ravon is physically located?

The Shadi Ravon is situated at the following address: 104 Kathy Ct, Los Gatos, CA 950321607.

What is Shadi Ravon's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Shadi Ravon is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.

On what date did Shadi Ravon receive its 1780772384 assignment from the Centers for Medicare & Medicaid Services?

The Shadi Ravon was assigned its 1780772384 on 2006-10-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Shadi Ravon most recently updated or revised?

The details related to Shadi Ravon, including its address, specialty, and other relevant information, were last updated or revised on 2022-01-13.

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