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RAVI C MADDALI, DDS, PC
NPI 1114178795
Dentist - General Practice in New York, NY

Active since October 01, 2008
639 W 173RD ST APT 1A, NEW YORK, NY 10032(212) 928-4480(212) 928-8389 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ravi C Maddali, Dds, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAVI C MADDALI, DDS, PC (NPI 1114178795) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since October 2008. The organization lists Ravi C Maddali, President, as its authorized official.

NPPES Registry Identity

NPI1114178795
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRAVI C MADDALI, DDS, PC
Location Address639 W 173RD ST APT 1ANew York, NY 10032-1426
Mailing Address639 W 173rd St Apt 1aNew York, NY 10032-1426 · (212) 928-4480 · Fax (212) 928-8389
Phone(212) 928-4480
Fax(212) 928-8389
Organization SubpartNo
Authorized OfficialRavi C MaddaliPresident · (212) 928-4480
Enumeration DateOctober 1, 2008
Last NPPES UpdateNovember 21, 2011
✔ NPI 1114178795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NY · 045922-1✔ Licensed in NY · 034679-1✔ Licensed in NY · 051162-1
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
639 W 173RD ST APT 1A, New York, NY 10032
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Other Identifiers 3

Medicaid00445625NY
Medicaid01704829NY
Medicaid02559039NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAGRUTI BHAKTA DMD
Dentist (General Practice)
639 W 173RD ST APT 1A
NEW YORK, NY 10032
New York County (212) 928-4480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ravi C Maddali, Dds, PC's NPI number?

The NPI number for Ravi C Maddali, Dds, PC is 1114178795. It was assigned to this organization in the NPPES registry on October 1, 2008.

Where is Ravi C Maddali, Dds, PC located?

Ravi C Maddali, Dds, PC is located at 639 W 173rd St Apt 1A, New York, NY 10032. The listed phone number is (212) 928-4480.

What is Ravi C Maddali, Dds, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ravi C Maddali, Dds, PC was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.