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Dr. Chaitanya Prakash Puranik, BDS,MS,MDS,PHD
Pediatric Dentist in Aurora, Colorado
NPI 1891109765

Chaitanya Prakash Puranik is a Pediatric Dentist based in Aurora, CO and is specialized in Pediatric Dentistry. Chaitanya Prakash Puranik practices in Aurora, CO and has the professional credentials of BDS,MS,MDS,PHD. The NPI Number for Chaitanya Prakash Puranik is 1891109765 and holds a License No. 0401416088 (Colorado).

The current practice location address for Chaitanya Prakash Puranik is 13123 E 16Th Ave Stop B240, Aurora, CO and can be reached out via phone at 720-777-2719 and via fax at 720-777-7354.

Location: 13123 E 16Th Ave Stop B240, Aurora, CO, 80045-7106
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Provider Profile Details
NPI Number
1891109765
Provider Name
Chaitanya Prakash Puranik
Credential
BDS,MS,MDS,PHD
Provider Entity Type
Individual
Gender
Male
Address
13123 E 16Th Ave Stop B240, Aurora, CO, 80045-7106
Phone Number
720-777-2719
Fax Number
720-777-7354
Provider Enumeration Date
06/18/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9000165418 05 CO
institution
Provider Business Practice Location Address Details
Address
13123 E 16Th Ave Stop B240
City
State
Zip
80045
Phone Number
720-777-2719
Fax Number
720-777-7354
person
Provider Business Mailing Address Details
Address
13123 E 16Th Ave Stop B240
City
State
Zip
80045
Phone Number
720-777-2719
Fax Number
720-777-7354
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
33860 (Texas)
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 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
0401416088 (Virginia)
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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