Provider Demographics
NPI:1215371687
Name:JITIN SAHANI DBA SAHANI DENTAL LLC
Entity type:Organization
Organization Name:JITIN SAHANI DBA SAHANI DENTAL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEAD OF GROUP
Authorized Official - Prefix:DR
Authorized Official - First Name:JITIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:508-397-6663
Mailing Address - Street 1:541 HIGH ST
Mailing Address - Street 2:SAHANI DENTAL LLC
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-1628
Mailing Address - Country:US
Mailing Address - Phone:781-320-0300
Mailing Address - Fax:
Practice Address - Street 1:541 HIGH ST
Practice Address - Street 2:SAHANI DENTAL LLC
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-1628
Practice Address - Country:US
Practice Address - Phone:781-320-0300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JITIN SAHANI DBA SAHANI DENTAL LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-29
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty