RAVIKANTH R KALLU (NPI# 1447415179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447415179 |
| Entity Type | Individual |
| Full Name | RAVIKANTH R KALLU |
| Credential | D.D.S. |
| Practice Address |
906 Orange St Fort Valley GA 31030-3456 |
| Mailing Address |
Po Box 1193 Fort Valley GA 31030-1193 |
| Practice Telephone | 4788252001 |
| Mailing Telephone | 4788252001 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2008-07-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN013745 | GA | Dental Providers |
| Street Address |
906 ORANGE ST |
| City | FORT VALLEY |
| State | GA |
| Zip Code | 31030-3456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285652313 | Linda B Whitaker | Dentist | 906 Orange St, Fort Valley, GA 31030-3456 | 2006-07-17 |
| 1952961237 | Christian M Davis | Dentist | 906 Orange St, Fort Valley, GA 31030-3456 | 2019-06-18 |
| 1306299292 | Kevin Whitaker | Dentist | 906 Orange St, Fort Valley, GA 31030-3456 | 2016-07-15 |
| 1831504307 | John G Whitaker IIi | Dentist | 906 Orange St, Fort Valley, GA 31030-3456 | 2014-06-24 |
| 1063650562 | J Greg Whitaker Jr Dmd Linda Byrd Whitaker Dmd Family Dentistry, Inc. | Dentist | 906 Orange St, Fort Valley, GA 31030-3456 | 2009-01-22 |
| 1306864434 | John G Whitaker Jr. | Dentist | 906 Orange St, Fort Valley, GA 31030-3456 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801302997 | Careconnect Health, Inc. | Clinic/Center | 209 North Camellia Blvd., Fort Valley, GA 31030 | 2017-12-27 |
| 1902345408 | Latrina Avant | Counselor | 164 Mahoney Lane, Fort Valley, GA 31030 | 2017-02-16 |
| 1447648159 | Five Points Pharmacy, LLC | Pharmacy | 115 Commercial Heights, Fort Valley, GA 31030 | 2015-01-05 |
| 1316208341 | Ulysses L. Marable IIi, Dmd, LLC | Dentist | 1030 Peach Parkway, Ste 9, Fort Valley, GA 31030 | 2012-06-06 |
| 1083901706 | Church Home Rehabilitation and Healthcare, LLC | Skilled Nursing Facility | 2470 Hwy 41 North, Fort Valley, GA 31030 | 2011-07-01 |
| 1295054393 | Melanie Marie Henson | Counselor | 410 East Church Street, Fort Valley, GA 31030 | 2010-05-28 |
| 1538329016 | First Born Outreach Center Inc | Assisted Living Facility | 103 Lavender Street, Fort Valley, GA 31030 | 2008-06-10 |
| 1871507640 | Gayton Health Centre | Optometrist | 440 Taylors Mill Rd, Fort Valley, GA 31030 | 2006-07-28 |
| 1215906136 | Renal Treatment Centers Mid Atlantic Inc | Clinic/Center | 557 Bluebird Blvd, Fort Valley, GA 31030 | 2006-03-14 |
| 1871568550 | Patricia S Winter | Counselor | 700 Mlk Dr, Ft Valley, GA 31030 | 2006-02-17 |
| Find all providers in zip 31030 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891905683 | Ulysses Luther Marable IIi | Dentist | 1030 Peach Pkwy, Suite 99, Fort Valley, GA 31030-8181 | 2007-05-23 |
| 1578776456 | Dawson Kendrick Mathews | Dentist | 302 Knoxville St, Fort Valley, GA 31030-4251 | 2007-05-08 |
| 1336227271 | Curtis E. Waites, D.d.s., P.C. | Dentist | 607 Bluebird Blvd, Fort Valley, GA 31030-5082 | 2006-11-01 |
| 1285652313 | Linda B Whitaker | Dentist | 906 Orange St, Fort Valley, GA 31030-3456 | 2006-07-17 |
| 1952961237 | Christian M Davis | Dentist | 906 Orange St, Fort Valley, GA 31030-3456 | 2019-06-18 |
| 1306299292 | Kevin Whitaker | Dentist | 906 Orange St, Fort Valley, GA 31030-3456 | 2016-07-15 |
| 1831504307 | John G Whitaker IIi | Dentist | 906 Orange St, Fort Valley, GA 31030-3456 | 2014-06-24 |
| 1013339175 | Curtis E Waites | Dentist | 607 Bluebird Blvd, Fort Valley, GA 31030-5082 | 2014-01-09 |
| 1063650562 | J Greg Whitaker Jr Dmd Linda Byrd Whitaker Dmd Family Dentistry, Inc. | Dentist | 906 Orange St, Fort Valley, GA 31030-3456 | 2009-01-22 |
| 1598976920 | Deborah Kathleen Mathews | Dentist | 302 Knoxville St, Fort Valley, GA 31030-4251 | 2007-05-25 |
| Find all providers in FORT VALLEY | ||||
| City | FORT VALLEY |
| Zip Code | 31030 |
Please comment or provide details below to improve the information on RAVIKANTH R KALLU.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.