Organization Active NPI

Pavan Putra Sa

  • Dental Clinic/Center
  • Rome, GA
National Provider Identifier
1326936469
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
PAVAN PUTRA SA
Practice address
319 Redmond Rd NW
Rome, GA 30165-1539
Phone
(706) 622-2985
NPI assigned
Jun 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Saahil Anil Patel, DMDNPI 1730817826
Title
Owner
Phone
(770) 815-0194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

319 Redmond Rd NW
Rome, GA 30165-1539

Mailing address

2788 Stone Hall Dr
Marietta, GA 30062-5061
Phone (770) 815-0194

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1326936469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2788 STONE HALL DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625061",
            "telephone_number": "770-815-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 REDMOND RD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651539",
            "telephone_number": "706-622-2985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVAN PUTRA SA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SAAHIL",
        "authorized_official_middle_name": "ANIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-815-0194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.