Provider Demographics
NPI:1730903949
Name:RCNS DENTAL PA
Entity type:Organization
Organization Name:RCNS DENTAL PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMYA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIGURUPATI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:614-266-6408
Mailing Address - Street 1:3818 WIND CAVE BND
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3545
Mailing Address - Country:US
Mailing Address - Phone:614-266-6408
Mailing Address - Fax:
Practice Address - Street 1:1231 E PIONEER PKWY STE 101
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76010-5886
Practice Address - Country:US
Practice Address - Phone:614-266-6408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-13
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty