Individual ProviderRavindra NandaDentistDental ProvidersPractice Address263 Farmington Avenue, University Dentists, Farmington, CT 06030-2820(860) 679-3170PECOS EnrollmentBased on the most recent information from CMS, provider Ravindra Nanda does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1194946475Provider TypeIndividualFull NameNanda, RavindraTitleDr.CredentialD.D.S.GenderMaleSole ProprietorNoEnumeration Date5/2/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address263 Farmington Avenue, University Dentists, Farmington, CT 06030-2820Phone(860) 679-3170Fax(860) 679-8162Mailing LocationMailing Address263 Farmington Avenue, University Dentists, Farmington, CT 06030-2820Phone(860) 679-3170Fax(860) 679-8162Provider TaxonomiesCodeDescriptionLicenseCode1223X0400XPrimaryDescriptionDentistDental ProvidersLicenseP04618Connecticut