National Provider Identifier Database

SULAKSHANA SUNDARESAN, DDS – NPI #1518117589
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

SULAKSHANA SUNDARESAN, DDS
60 CHURCH STREET
YALESVILLE, CT06492
Phone: 203-774-0019
Fax: 203-774-0034
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X
Dental Public Health 1223D0001X

* Indicates primary specialty

NPI Profile & details for SULAKSHANA SUNDARESAN

NPI Number 1518117589
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 09/25/2008
Last updated 09/24/2010 - About 16 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 9656
  • CT Medicaid: MCD008001178
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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