Provider Demographics
NPI:1477864643
Name:RAVINDRAN III, VEJAY KUMAR (DDS)
Entity type:Individual
Prefix:DR
First Name:VEJAY
Middle Name:KUMAR
Last Name:RAVINDRAN III
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13220 STRICKLAND RD STE 166
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-5213
Mailing Address - Country:US
Mailing Address - Phone:919-251-5572
Mailing Address - Fax:919-424-0170
Practice Address - Street 1:13220 STRICKLAND RD STE 166
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-5213
Practice Address - Country:US
Practice Address - Phone:919-251-5572
Practice Address - Fax:919-424-0170
Is Sole Proprietor?:No
Enumeration Date:2010-06-23
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE-60185606122300000X
WA601856061223G0001X
GADN0151921223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist