Lavanya Rajendran, DMD
Dentist, Periodontics in New London, CT. Individual provider (NPI-1).
NPI number1831692425
StatusActive
Last updated in NPPESNov 1, 2022
Details
- NPI
- 1831692425
- Entity type
- Individual (NPI-1)
- Name
- Lavanya Rajendran
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2018
- Certification date
- Nov 1, 2022
- Last updated
- Nov 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 13249 | CT | Yes |
| 1223P0300X | Dentist, Periodontics | DEN03625 | RI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 12212 | CT |
Practice location
190 Hempstead StNew London, CT 06320-6248
Phone 860-443-2428
Mailing address
25 Copper Beech DrCheshire, CT 06410-2950
Phone 203-379-7006
Other practice locations
25 Copper Beech Dr
Cheshire, CT 06410-2950
Cheshire, CT 06410-2950
Phone 203-379-7006
62 Wells St
Westerly, RI 02891-2924
Westerly, RI 02891-2924
Phone 401-596-0000
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Other Periodontics providers in New London, CT
- Robert S Carnevale, D.M.D.NPI 1811954795
- Keila Norman, DMDNPI 1790872588
- Ellen Pearce, DMDNPI 1629640933
- Robert S. Carnevale, Dmd, PCNPI 1700053709
- Daniel Rolotti, DMDNPI 1578995056
- Shoreline Periodontics, PCNPI 1679684757
- Gregory A Toback, D.M.D.,M.S.NPI 1275590150
All 8 Periodontics providers in New London · All 1,472 providers in New London
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