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Dr. Manvitha Kuchukulla, MDS
Orofacial Pain Dentist in Glen Allen, Virginia
NPI 1760073449

Manvitha Kuchukulla is a Orofacial Pain Dentist based in Glen Allen, VA and is specialized in Orofacial Pain. Manvitha Kuchukulla practices in Glen Allen, VA and has the professional credentials of MDS. The NPI Number for Manvitha Kuchukulla is 1760073449 and holds a License No. 016.0133997 (Virginia).

The current practice location address for Manvitha Kuchukulla is 5352 Twin Hickory Rd, Glen Allen, VA and can be reached out via phone at 804-335-0599.

Location: 5352 Twin Hickory Rd, Glen Allen, VA, 23059-5682
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760073449
Provider Name
Manvitha Kuchukulla
Credential
MDS
Provider Entity Type
Individual
Gender
Female
Address
5352 Twin Hickory Rd, Glen Allen, VA, 23059-5682
Phone Number
804-335-0599
Fax Number
Provider Enumeration Date
01/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5352 Twin Hickory Rd
City
Glen Allen
State
Virginia
Zip
23059-5682
Phone Number
804-335-0599
Fax Number
person
Provider Business Mailing Address Details
Address
5352 Twin Hickory Rd
City
Glen Allen
State
Virginia
Zip
23059-5682
Phone Number
804-335-0599
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Orofacial Pain
Taxonomy
1223X2210X
License No.
016.0133997 (Vermont)
Definition
A dentist who assesses, diagnoses, and treats patients with complex chronic orofacial pain and dysfunction disorders, oromotor and jaw behavior disorders, and chronic head/neck pain. The dentist has successfully completed an accredited postdoctoral orofacial pain residency training program for dentists of two or more years duration, in accord with the Commission on Dental Accreditation's Standards for Orofacial Pain Residency Programs, and/or meets the requirements for examination and board certification by the American Board of Orofacial Pain.
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