Mrs. Sulakshana Sundaresan
Dental Public Health Dentist - General Practice
60 Church Street
Yalesville
, Connecticut 06492
Mrs. Sulakshana Sundaresan
Dental Public Health Dentist - General Practice
60 Church Street
Yalesville
, Connecticut 06492
(203) 774-0034
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About
Features
Specialties
- Dental Public Health
- General Practice
Languages spoken
- English
Location
First Address
- Mrs. Sulakshana Sundaresan
- 60 Church Street
- Yalesville, CT
- Zip : 06492
- Fax : (203) 774-0034
- Phone : (203) 774-0019
Second Address
- Mrs. Sulakshana Sundaresan
- 60 Church Street
- Yalesville, CT
- Zip : 06492
- Fax : (203) 774-0034
- Phone : (203) 774-0019
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FAQs
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Is Mrs. Sulakshana Sundaresan a sole practitioner?
Is Mrs. Sulakshana Sundaresan accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 1223D0001X | Dental Public Health | 9656 | CT |
| Y | 1223G0001X | General Practice | 9656 | CT |
| Y | 213EG0000X | General Practice | 9656 | CT |
National Provider Identifier
| NPI | 1518117589 |
|---|---|
| Provider Name | Mrs. Sulakshana Sundaresan |
| First Address | Yalesville, CT 06492 |
| Second Address | Yalesville, CT 06492 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/09/2008 |
| Last Update Date | 24/09/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| MCD008001178 | (05) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.