Ravikanth R. Kallu, D.D.S.

General Practice Dentistry · Fort Valley, GA

Individual Active NPI

NPI number 1447415179

Practice location

906 Orange St
Fort Valley, GA 31030-3456
Phone
(478) 825-2001

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NPI record

NPI
1447415179
Entity type
Individual (Type 1)
Enumeration date
July 22, 2008
Last updated
July 22, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN013745 GA

Mailing address

PO Box 1193
Fort Valley, GA 31030-1193
Phone
(478) 825-2001

About Dr. Kallu

Ravikanth R. Kallu, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 906 Orange St, Fort Valley, GA 31030-3456. The NPI number 1447415179 was assigned on July 22, 2008 and the record was last updated on July 22, 2008.

Dr. Kallu lists a license in the registry: #DN013745 (GA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Ravikanth R. Kallu, D.D.S.?

The NPI number is 1447415179.

What is the phone number of Dr. Kallu?

The phone number listed for the practice location is (478) 825-2001.

Where is Dr. Kallu located?

906 Orange St, Fort Valley, GA 31030-3456.

What is the taxonomy code for Dr. Kallu?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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