IndividualActive
Vani Pavan, PERIODONTIST
NPI 1053657494 · Periodontics · Marlin, TX
Provider details
- NPI number
- 1053657494
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- PERIODONTIST
- Sex
- Female
- Sole proprietor
- No
- License
- 28582 (TX)
Specialties & taxonomies
Dental Providers
Practice location
110 Church St
Marlin, TX 76661-2809
Phone: (972) 670-4991
Approximate (ZIP-level) locationGet directions
Mailing address
2805 E Grapevine Mills Cir
Grapevine, TX 76051-1210
Additional practice locations (1)
- 2805 E Grapevine Mills CirSuite 108Grapevine, TX 76051-1210Phone: (972) 355-8688Fax: (972) 539-8389
Registry dates
- Enumerated
- 2012-12-12
- Last updated
- 2020-03-17
- Certified
- 2020-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.