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Dr. Sujatha Hettiarachchi Desilva, DDS
General Practice Dentistry in Port Jervis, New York
NPI 1639251846

Sujatha Hettiarachchi Desilva is a General Practice Dentistry based in Port Jervis, NY and is specialized in General Practice. Sujatha Hettiarachchi Desilva practices in Port Jervis, NY and has the professional credentials of DDS. The NPI Number for Sujatha Hettiarachchi Desilva is 1639251846 and holds a License No. 039885 (New York).

The current practice location address for Sujatha Hettiarachchi Desilva is 141 Pike St, Port Jervis, NY and can be reached out via phone at 845-856-4002 and via fax at 845-858-1127.

Location: 141 Pike St, Port Jervis, NY, 12771-1807
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639251846
Provider Name
Sujatha Hettiarachchi Desilva
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
141 Pike St, Port Jervis, NY, 12771-1807
Phone Number
845-856-4002
Fax Number
845-858-1127
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03143299 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
845-858-1127
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
845-858-1127
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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