Sujatha L Revur is a Dentist in Worcester, Massachusetts. Sujatha L Revur practices all healthcare services and medical treatments related to Dentist. The NPI Number for Sujatha L Revur is 1780695130. The last update date is 2007-07-09.
Sujatha L Revur's current location address is 26 Queen St, Worcester, Massachusetts. You can contact this provider via phone number 5088607700 and fax number 5088607990. The mailing address for Sujatha L Revur is 26 Queen St, Worcester, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sujatha L Revur |
|---|---|
| Address | 26 Queen St, Worcester, Massachusetts |
| Phone Number | 5088607700 |
| Fax Number | 5088607990 |
| Sole Proprietor | N |
| Credentials | GENERAL DE |
NPI Number Detail
| NPI Number | 1780695130 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 26 Queen St |
|---|---|
| City | Worcester |
| State | Massachusetts (MA) |
| Post Code | 16102473 |
| Phone Number | 5088607700 |
| Fax Number | 5088607990 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 19824 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1300709 | MA | -- | |
| 41770 | MA | HARVARD PILGRIM | |
| 19824 | MA | ALTUS DENTAL | |
| 19824 | MA | AMERITAS | |
| Y10141 | MA | BCBS DENTAL-GROUP | |
| 19824 | MA | BCBS DENTAL | |
| 19824 | MA | ANTHEM BCBS DENTAL | |
| 19824 | MA | ANTHEM BLUECARE | |
| 19824 | MA | GUARDIAN DENTAL |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sujatha L Revur by the Centers for Medicare & Medicaid Services?
The Sujatha L Revur has been issued the NPI (National Provider Identifier) 1780695130, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Sujatha L Revur's facilities are geographically located?
The facilities of Sujatha L Revur are physically situated at the following location: 26 Queen St, Worcester, MA, 16102473.
What is Sujatha L Revur's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Sujatha L Revur is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
When did the Sujatha L Revur receive its 1780695130?
The Sujatha L Revur was issued its 1780695130 on 2006-08-11, which is the date when the organization was assigned this unique identifier.
When was the information regarding Sujatha L Revur most recently updated?
The details pertaining to the Sujatha L Revur, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.
NPI Number: 1932102142
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