Agadi, Bhavana
Agadi, Bhavana is an sole proprietor health care provider with primary practice located at Dental Smiles Center, 1241 Main St Unit #8, Worcester MA 01603. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Agadi, Bhavana can be contacted via phone (508) 797-5555.Contact Information
Primary practice address
Dental Smiles Center, 1241 Main St Unit #8
Worcester MA 01603
Phone: (508) 797-5555
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 21468 | Massachusetts |
Profile Details
| NPI number | 1316095631 |
|---|---|
| LBN Legal business name | Agadi, Bhavana |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 5th, 2007 |
| Last updated | Mar 18th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316095631 | NPPES |
| Massachusetts | MEDICAID | 0205168 |
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