Provider Demographics
NPI:1104891928
Name:SAVANT, GAURI (DDS)
Entity type:Individual
Prefix:DR
First Name:GAURI
Middle Name:
Last Name:SAVANT
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 1:353 LEXINGTON AVE STE 1607
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-0993
Mailing Address - Country:US
Mailing Address - Phone:212-221-1481
Mailing Address - Fax:212-221-3187
Practice Address - Street 1:353 LEXINGTON AVE STE 1607
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016
Practice Address - Country:US
Practice Address - Phone:212-221-1481
Practice Address - Fax:212-221-3187
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-23
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0506201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice