Provider Demographics
NPI:1972779718
Name:DAVE, JAHNAVI R (DMD)
Entity type:Individual
Prefix:DR
First Name:JAHNAVI
Middle Name:R
Last Name:DAVE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 BUNKER HILL CT
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-5830
Mailing Address - Country:US
Mailing Address - Phone:484-288-0598
Mailing Address - Fax:
Practice Address - Street 1:84 BUNKER HILL CT
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-5830
Practice Address - Country:US
Practice Address - Phone:484-288-0598
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-01
Last Update Date:2008-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0372941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice