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Sujatha H Desilva
General Practice Dentistry in Port Jervis, New York
NPI 1265696058

Sujatha H Desilva is a General Practice Dentistry based in Port Jervis, NY and is specialized in General Practice. Sujatha H Desilva practices in Port Jervis, NY. The NPI Number for Sujatha H Desilva is 1265696058 and holds a License No. 039885 (New York).

The current practice location address for Sujatha H Desilva is 141 Pike St, Port Jervis, NY and can be reached out via phone at 845-856-4002 and via fax at 845-856-4002.

Location: 141 Pike St, Port Jervis, NY, 12771-1807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265696058
Provider Name
Sujatha H Desilva
Credential
Provider Entity Type
Organization
Address
141 Pike St, Port Jervis, NY, 12771-1807
Phone Number
845-856-4002
Fax Number
845-856-4002
Provider Enumeration Date
07/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0946341 05 NY
institution
Provider Business Practice Location Address Details
Address
141 Pike St
City
Port Jervis
State
New York
Zip
12771-1807
Phone Number
845-856-4002
Fax Number
845-856-4002
person
Provider Business Mailing Address Details
Address
141 Pike St
City
Port Jervis
State
New York
Zip
12771-1807
Phone Number
845-856-4002
Fax Number
845-856-4002
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
039885 (New York)
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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