Provider Demographics
NPI:1801910872
Name:SAAVEDRA, TANIA HELEN (DDS)
Entity type:Individual
Prefix:DR
First Name:TANIA
Middle Name:HELEN
Last Name:SAAVEDRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 N WANTAGH AVENUE
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-4132
Mailing Address - Country:US
Mailing Address - Phone:516-622-9394
Mailing Address - Fax:
Practice Address - Street 1:185 N WANTAGH AVENUE
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-4132
Practice Address - Country:US
Practice Address - Phone:516-622-9394
Practice Address - Fax:516-622-9396
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2009-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0508481223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice