Doctor Name: | DR. RAGHAV PURI |
NPI Number: | 1326440835 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | BDS MS |
License Number: | 30505 |
Business Practice Address: | 1331 W Wilson St Borger, TX - 790074421 |
Business Phone Number: | 8062749675 |
Business Fax Number: | |
Mailing Address: | 7919 Blenheim Pl, FORT WORTH |
State: | TX |
Postal Code: | 761205811 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/16/2014 |
NPI Last Update Date: | 09/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223G0001X |
License Number: | 30505 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | General Practice |
Taxonomy 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. |