Provider Demographics
NPI:1104157874
Name:PAI, SAVIRA (DDS)
Entity type:Individual
Prefix:DR
First Name:SAVIRA
Middle Name:
Last Name:PAI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3243 90TH ST
Mailing Address - Street 2:APT301
Mailing Address - City:EAST ELMHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11369-2357
Mailing Address - Country:US
Mailing Address - Phone:718-651-3331
Mailing Address - Fax:
Practice Address - Street 1:3243 90TH ST
Practice Address - Street 2:APT301
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11369-2357
Practice Address - Country:US
Practice Address - Phone:718-651-3331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05476211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice