Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ravi C Maddali, DDS, PC

Organization General Practice Dentistry · NPI 1114178795

Ravi C Maddali, DDS, PC provides General Practice Dentistry in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

639 W 173rd St Apt 1A
New York, NY 10032-1426 Not confirmed with CMS for 14 years — call before visiting
Phone: (212) 928-4480
Fax: (212) 928-8389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 045922-1 (NY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 051162-1 (NY)
General Practice Dentistry Taxonomy 1223G0001X · Licence 034679-1 (NY)

Record details

NPI number1114178795
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ravi Maddali — President · (212) 928-4480
NPI enumeratedOctober 1, 2008
Last updated in NPPESNovember 21, 2011
Mailing address639 W 173rd St Apt 1a, New York, NY 10032-1426

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