Healthcare Provider Details

I. General information

NPI: 1568245389
Provider Name (Legal Business Name): MOHIT VARMA D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 SOUTH RD
EAST GREENWICH RI
02818-1407
US

IV. Provider business mailing address

180 SOUTH RD
EAST GREENWICH RI
02818-1407
US

V. Phone/Fax

Practice location:
  • Phone: 732-512-7908
  • Fax:
Mailing address:
  • Phone: 732-512-7908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDEN03716
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: