Active NPIIndividual provider

Sudhaker R Balmuri, DDS

Dentist in East Orange, New Jersey

NPI Number1003824913
Practice location
343 Park Ave, Suite A5, East Orange, NJ 07017
Fax
973-414-8500
Last updated
June 4, 2008

Sudhaker Rao Balmuri is a Dentist based in East Orange, NJ. Sudhaker Rao Balmuri practices in East Orange, NJ and has the professional credentials of DDS. The NPI Number for Sudhaker Rao Balmuri is 1003824913 and holds a License No. 17979 (NJ). The current practice location address for Sudhaker Rao Balmuri is 343 Park Ave, Suite A5, East Orange, NJ 07017 and can be reached out via phone at 973-414-8500 and via fax at 973-414-8500.

Provider Profile Details

NPI Number
1003824913
Provider Name
Sudhaker Rao Balmuri
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
343 Park Ave, Suite A5, East Orange, NJ 07017
Phone Number
973-414-8500
Fax Number
973-414-8500
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Other Names
Dr. Sudhaker Rao Balmuri, DDS (Professional Name)
Provider Enumeration Date
August 4, 2006
Last Update Date
June 4, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
343 Park Ave
Suite A5
East Orange, NJ 07017
Zip
07017
Phone Number
973-414-8500
Fax Number
973-414-8500
East Orange, NJ 07017Get directions →

Provider Business Mailing Address Details

Address
343 Park Ave
Suite A5
East Orange, NJ 07017
City
East Orange
State
NJ
Zip
07017
Phone Number
973-414-8500
Fax Number
973-414-8500

License Information

License Number
17979
License State
NJ
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Sudhaker R Balmuri, DDS?

The NPI number of Sudhaker R Balmuri, DDS is 1003824913. It was assigned on August 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Sudhaker R Balmuri, DDS?

Sudhaker R Balmuri, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 17979.

Where does Sudhaker R Balmuri, DDS practice?

The practice location is 343 Park Ave, Suite A5, East Orange, NJ 07017. The office can be reached at 973-414-8500 (phone) or 973-414-8500 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003824913 directly on the NPPES registry website.

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