Provider Demographics
NPI:1336157874
Name:SAVAS, ATHAN (DDS)
Entity type:Individual
Prefix:DR
First Name:ATHAN
Middle Name:
Last Name:SAVAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 PARK AVE
Mailing Address - Street 2:SUITE 1103
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1976
Mailing Address - Country:US
Mailing Address - Phone:508-798-4800
Mailing Address - Fax:
Practice Address - Street 1:255 PARK AVE
Practice Address - Street 2:SUITE 1103
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1976
Practice Address - Country:US
Practice Address - Phone:508-798-4800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA118371223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics