Provider Demographics
NPI:1003097650
Name:ARVIND GULATI DDS PC
Entity type:Organization
Organization Name:ARVIND GULATI DDS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARVIND
Authorized Official - Middle Name:
Authorized Official - Last Name:GULATI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:248-348-2115
Mailing Address - Street 1:23655 NOVI RD STE 103
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5442
Mailing Address - Country:US
Mailing Address - Phone:248-348-2115
Mailing Address - Fax:248-348-2595
Practice Address - Street 1:23655 NOVI RD STE 103
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5442
Practice Address - Country:US
Practice Address - Phone:248-348-2115
Practice Address - Fax:248-348-2595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-23
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI169961223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ON79840Medicare PIN