Supritha Nilam, DDS
Oral & Maxillofacial Surgery in Cincinnati, Ohio
1629597562- Practice location
- 222 Piedmont Ave, Cincinnati, OH 45219-4231
- Phone
- 513-475-8783
- Fax
- 513-475-7698
- Last updated
- May 12, 2026
Supritha Nilam is an Oral & Maxillofacial Surgery based in Cincinnati, OH. Supritha Nilam practices in Cincinnati, OH and has the professional credentials of DDS. The NPI Number for Supritha Nilam is 1629597562 and holds a License No. DEN4589 (ME). The current practice location address for Supritha Nilam is 222 Piedmont Ave, Cincinnati, OH 45219-4231 and can be reached out via phone at 513-475-8783 and via fax at 513-475-7698.
Provider Profile Details
- NPI Number
- 1629597562
- Provider Name
- Supritha Nilam
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 222 Piedmont Ave, Cincinnati, OH 45219-4231
- Phone Number
- 513-475-8783
- Fax Number
- 513-475-7698
- Primary Taxonomy
- Oral & Maxillofacial Surgery · 204E00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 12, 2017
- Last Update Date
- May 12, 2026
- Certification Date
- May 12, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 222 Piedmont Ave
Cincinnati, OH 45219-4231 - City
- Cincinnati
- State
- Ohio
- Zip
- 45219-4231
- Phone Number
- 513-475-8783
- Fax Number
- 513-475-7698
Provider Business Mailing Address Details
- Address
- Po Box 636256
Cincinnati, OH 45263-6256 - City
- Cincinnati
- State
- OH
- Zip
- 45263-6256
- Phone Number
- 513-585-6200
- Fax Number
- 513-245-3672
License Information
- License Number (1)
- DEN4589
- License State (1)
- ME
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 30.027873
- License State (2)
- OH
- Taxonomy (2)
- Oral & Maxillofacial Surgery · 204E00000X · Primary
- License Number (3)
- 30.027873
- License State (3)
- OH
- Taxonomy (3)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- License Number (4)
- 106194
- License State (4)
- CA
- Taxonomy (4)
- Oral & Maxillofacial Surgery · 204E00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Supritha Nilam, DDS?
The NPI number of Supritha Nilam, DDS is 1629597562. It was assigned on September 12, 2017 and is currently active in the NPPES registry.
What is the specialty of Supritha Nilam, DDS?
Supritha Nilam, DDS is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X), licensed in ME under license number DEN4589.
Where does Supritha Nilam, DDS practice?
The practice location is 222 Piedmont Ave, Cincinnati, OH 45219-4231. The office can be reached at 513-475-8783 (phone) or 513-475-7698 (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 1629597562 directly on the NPPES registry website.