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Dr. Prashan Shanthakumar, DDS,MS
Periodontist in Surprise, Arizona
NPI 1215593868

Prashan Shanthakumar is a Periodontist based in Surprise, AZ and is specialized in Periodontics. Prashan Shanthakumar practices in Surprise, AZ and has the professional credentials of DDS,MS. The NPI Number for Prashan Shanthakumar is 1215593868 and holds a License No. (Arizona).

The current practice location address for Prashan Shanthakumar is 13733 N Prasada Pkwy Ste 108, Surprise, AZ and can be reached out via phone at 623-777-3329.

Location: 13733 N Prasada Pkwy Ste 108, Surprise, AZ, 85388-8014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215593868
Provider Name
Prashan Shanthakumar
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
13733 N Prasada Pkwy Ste 108, Surprise, AZ, 85388-8014
Phone Number
623-777-3329
Fax Number
Provider Enumeration Date
05/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13733 N Prasada Pkwy Ste 108
City
Surprise
State
Arizona
Zip
85388-8014
Phone Number
623-777-3329
Fax Number
person
Provider Business Mailing Address Details
Address
13733 N Prasada Pkwy Ste 108
City
Surprise
State
Arizona
Zip
85388-8014
Phone Number
623-777-3329
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
D011814 (Arizona)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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