=====================================================
General NPI Number Information
=====================================================
NPI Number | 1912828070
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LUMINA SMILE DENTAL PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/23/2026
-----------------------------------------------------
Last Update Date | 07/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 353 LEXINGTON AVE STE 1607
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10016-0993
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-221-1481
-----------------------------------------------------
Fax | 646-462-3278
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 353 LEXINGTON AVE STE 1607
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10016-0993
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 212-221-1481
-----------------------------------------------------
Fax | 646-462-3278
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. GAURI SAVANT
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 212-221-1481
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------