Sivabalan Vasudavan in Boston - Orthodontics And Dentofacial Orthopedics

Sivabalan Vasudavan - NPI 1851568893

Sivabalan Vasudavan is a Orthodontics And Dentofacial Orthopedics in Boston, Massachusetts. Sivabalan Vasudavan practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Sivabalan Vasudavan is 1851568893. The last update date is 2008-05-09.

Sivabalan Vasudavan's current location address is 300 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6173558702 and fax number 6177300478. The mailing address for Sivabalan Vasudavan is 300 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Sivabalan Vasudavan
Address 300 Longwood Ave, Boston, Massachusetts
Phone Number 6173558702
Fax Number 6177300478
Sole Proprietor N
Credentials BDSC MDSC

NPI Number Detail

NPI Number 1851568893
Provider Enumeration Date 2008-05-09
Last Updated Date 2008-05-09

Provider Mailing Address Detail

Address 300 Longwood Ave
City Boston
State Massachusetts (MA)
Post Code 21155724
Phone Number 6173558702
Fax Number 6177300478

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 9734
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Sivabalan Vasudavan

What is the unique 10-digit identifier code assigned to Sivabalan Vasudavan by the Centers for Medicare & Medicaid Services?

The Sivabalan Vasudavan has been issued the NPI (National Provider Identifier) 1851568893 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Sivabalan Vasudavan's physical address?

The Sivabalan Vasudavan is physically located at 300 Longwood Ave, in the city of Boston, MA, with the postal code 21155724.

What is the area of specialization for Sivabalan Vasudavan, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Sivabalan Vasudavan is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of expertise is 1223X0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1851568893 to Sivabalan Vasudavan?

The Centers for Medicare & Medicaid Services originally issued the 1851568893 to Sivabalan Vasudavan on 2008-05-09.

As of what date were the details pertaining to Sivabalan Vasudavan last refreshed?

The information related to the Sivabalan Vasudavan, including its address, specialty, and other relevant details, was last updated on 2008-05-09.

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