Provider Demographics
NPI:1528638178
Name:SAWNANI, SAHIL (DDS)
Entity type:Individual
Prefix:DR
First Name:SAHIL
Middle Name:
Last Name:SAWNANI
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 1:3075 W GRAND BLVD APT 407
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48202-3170
Mailing Address - Country:US
Mailing Address - Phone:313-719-8030
Mailing Address - Fax:
Practice Address - Street 1:30003 SOUTHFIELD RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48076-1433
Practice Address - Country:US
Practice Address - Phone:248-646-2273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-27
Last Update Date:2021-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901600950122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist