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Dr. Sirin Chundu, DDS
Pediatric Dentist in Chippewa Falls, Wisconsin
NPI 1720494370

Sirin Chundu is a Pediatric Dentist based in Chippewa Falls, WI and is specialized in Pediatric Dentistry. Sirin Chundu practices in Chippewa Falls, WI and has the professional credentials of DDS. The NPI Number for Sirin Chundu is 1720494370 and holds a License No. 30209 (Wisconsin).

The current practice location address for Sirin Chundu is 850 Lakeland Dr, Chippewa Falls, WI and can be reached out via phone at 715-738-2000.

Location: 850 Lakeland Dr, Chippewa Falls, WI, 54729-1687
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720494370
Provider Name
Sirin Chundu
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
850 Lakeland Dr, Chippewa Falls, WI, 54729-1687
Phone Number
715-738-2000
Fax Number
Provider Enumeration Date
07/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
850 Lakeland Dr
City
Chippewa Falls
State
Wisconsin
Zip
54729
Phone Number
715-738-2000
Fax Number
person
Provider Business Mailing Address Details
Address
850 Lakeland Dr
City
Chippewa Falls
State
Wisconsin
Zip
54729
Phone Number
715-738-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
1002288-15 (Wisconsin)
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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
059610 (New York)
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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
30209 (Texas)
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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