Healthcare Provider Details

I. General information

NPI: 1689595795
Provider Name (Legal Business Name): RAVI KUMAR PABBATI DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2302 CENTER POINT PKWY
BIRMINGHAM AL
35215-3608
US

IV. Provider business mailing address

709 CROWNE RESERVE DR
HOOVER AL
35244-7043
US

V. Phone/Fax

Practice location:
  • Phone: 205-853-9170
  • Fax:
Mailing address:
  • Phone: 612-220-2735
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD.007633-C1
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: