MEDICARE: DR. NIRANJAN M SAVANI DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	DS029756L	PA
2	122300000X	Dentist	DDS-09035	IA
3	122300000X	Dentist	22D102312900	NJ

General Provider Information

NPI Number	:	1780675298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NIRANJAN M SAVANI DMD

Provider Business Mailing Address
First Line	:	401 COMMERCE DR
Second Line	:	SUITE 108
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-2714
Country	:	US
Telephone Number	:	267-460-4254
Fax Number	:	215-646-6369

Provider Business Practice Location Address
First Line	:	401 COMMERCE DR
Second Line	:	SUITE 108
City	:	FORT WASHINGTON
State	:	PA
Zip	:	19034-2714
Country	:	US
Telephone Number	:	267-460-4254
Fax Number	:	215-646-6369

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	08/07/2013

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