Doctor Name: | DR. SATISH R. RAO |
NPI Number: | 1437236734 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DMD., MS. |
License Number: | 13879 |
Business Practice Address: | 77 Winsor St Suite 102 Ludlow, MA - 010563469 |
Business Phone Number: | 4135835157 |
Business Fax Number: | |
Mailing Address: | 77 Winsor St, Suite 102 LUDLOW |
State: | MA |
Postal Code: | 010563469 |
Phone Number: | 4135835157 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2006 |
NPI Last Update Date: | 11/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 13879 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |