Provider Demographics
NPI:1447871082
Name:ARVIND KENNETH VAKANI DMD MS PA
Entity type:Organization
Organization Name:ARVIND KENNETH VAKANI DMD MS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARVIND
Authorized Official - Middle Name:KENNETH
Authorized Official - Last Name:VAKANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD MS
Authorized Official - Phone:772-285-4722
Mailing Address - Street 1:1963 SE FEDERAL HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-3915
Mailing Address - Country:US
Mailing Address - Phone:772-287-8415
Mailing Address - Fax:
Practice Address - Street 1:1963 SE FEDERAL HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3915
Practice Address - Country:US
Practice Address - Phone:772-287-8415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-06
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty