MEDICARE: BHAVEN V SAYANIA 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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	10694	NC

General Provider Information

NPI Number	:	1841720067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BHAVEN V SAYANIA DMD

Provider Business Mailing Address
First Line	:	2734 ROZZELLES FERRY RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28208-3233
Country	:	US
Telephone Number	:	704-927-5499
Fax Number	:

Provider Business Practice Location Address
First Line	:	2734 ROZZELLES FERRY RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28208-3233
Country	:	US
Telephone Number	:	704-927-5499
Fax Number	:

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

Provider Enumeration Date	:	06/20/2017
Last Update Date	:	07/21/2022

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