Ivan Sumitra is a General Practice in Clarksville, Maryland. Ivan Sumitra practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ivan Sumitra is 1578540118. The last update date is 2007-07-08.
Ivan Sumitra's current location address is 11815 Chapel Woods Ct, Clarksville, Maryland. You can contact this provider via phone number 3015969584. The mailing address for Ivan Sumitra is 11815 Chapel Woods Ct, Clarksville, Maryland. To know further, please read the information below!
Provider Profile Detail
Provider Name | Ivan Sumitra |
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Address | 11815 Chapel Woods Ct, Clarksville, Maryland |
Phone Number | 3015969584 |
Fax Number | |
Sole Proprietor | X |
Credentials | DDS |
NPI Number Detail
NPI Number | 1578540118 |
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Provider Enumeration Date | 2005-12-25 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 11815 Chapel Woods Ct |
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City | Clarksville |
State | Maryland (MD) |
Post Code | 210291117 |
Phone Number | 3015969584 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 4040 |
Definition: 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. |
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What is the unique 10-digit identifier code assigned to Ivan Sumitra by the Centers for Medicare & Medicaid Services?
The Ivan Sumitra has been issued the NPI (National Provider Identifier) 1578540118 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Ivan Sumitra?
The Ivan Sumitra is physically situated at 11815 Chapel Woods Ct, in the city of Clarksville, state of MD, with the postal code 210291117.
What is the area of specialization for Ivan Sumitra, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ivan Sumitra is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578540118 to Ivan Sumitra?
The Centers for Medicare & Medicaid Services assigned the 1578540118 to Ivan Sumitra on 2005-12-25.
As of what date were the details related to Ivan Sumitra most recently updated or revised?
The information pertaining to Ivan Sumitra, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.