person
Dr. Sujatha Sekar Sivaraman, DMD
Pediatric Dentist in Columbia, Missouri
NPI 1477543932

Sujatha Sekar Sivaraman is a Pediatric Dentist based in Columbia, MO and is specialized in Pediatric Dentistry. Sujatha Sekar Sivaraman practices in Columbia, MO and has the professional credentials of DMD. The NPI Number for Sujatha Sekar Sivaraman is 1477543932 and holds a License No. 2005026619 (Missouri).

The current practice location address for Sujatha Sekar Sivaraman is 2475 Broadway Bluffs Dr, Columbia, MO and can be reached out via phone at 573-777-9282 and via fax at 573-777-9569.

Location: 2475 Broadway Bluffs Dr, Columbia, MO, 65203-2037
person
Provider Profile Details
NPI Number
1477543932
Provider Name
Sujatha Sekar Sivaraman
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
2475 Broadway Bluffs Dr, Columbia, MO, 65203-2037
Phone Number
573-777-9282
Fax Number
573-777-9569
Provider Enumeration Date
10/26/2005
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
2475 Broadway Bluffs Dr
City
State
Zip
65201-8148
Phone Number
573-777-9282
Fax Number
573-777-9569
person
Provider Business Mailing Address Details
Address
2475 Broadway Bluffs Dr
City
State
Zip
65201-8148
Phone Number
573-777-9282
Fax Number
573-777-9569
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
2005026619 (Missouri)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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