National Provider Identifier
Rajeev N Revankar, DDS
Rajeev N Revankar, DDS is listed in the NPPES registry with a primary specialty of Dentist in Gasport, NY and a listed phone number of (716) 772-5590.
Profile Overview
- NPI
- 1700951795
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- November 22, 2006
- Last Updated
- February 26, 2016
Practice Location
- 8403 Rochester RD
- Gasport, NY 14067-9211
Phone: (716) 772-5590
Mailing Address
- 8403 Rochester RD
- Apt 1Gb
- Gasport, NY 14067-9211
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1700951795
- Entity Type
- Individual
- Last Name
- Revankar
- First Name
- Rajeev
- Middle Name
- N
- Credential
- DDS
- Mailing Street Address
- 8403 Rochester RD
- Mailing Address Line 2
- Apt 1Gb
- Mailing City
- Gasport
- Mailing State
- NY
- Mailing ZIP Code
- 14067-9211
- Mailing Country
- US
- Mailing Phone
- (716) 772-5590
- Mailing Fax
- (716) 772-5590
- Practice Street Address
- 8403 Rochester RD
- Practice City
- Gasport
- Practice State
- NY
- Practice ZIP Code
- 14067-9211
- Practice Country
- US
- Practice Phone
- (716) 772-5590
- Enumeration Date
- November 22, 2006
- Last Updated
- February 26, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)
- Other Identifiers
- 00000000 (NY, Dr Doesn'T Have)