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DIVYA VENKATARAMAN DMD PLLC NPI 1750701058


NPI Information

NPI: 1750701058
Provider Name: DIVYA VENKATARAMAN DMD PLLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1 EUREKA CIR
SUITE 103
WICHITA FALLS, TX
ZIP 76308
Phone: (940) 691-5027
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DIVYA VENKATARAMAN DMD PLLC is a pediatric dentistry dentist in Wichita Falls, TX. The provider is 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. DIVYA VENKATARAMAN DMD PLLC NPI is 1750701058. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 EUREKA CIR
SUITE 103
WICHITA FALLS, TX
ZIP 76308-929
Phone: (940) 691-5027

The provider's authorized official is Divya Venkataraman .
The authorized official title is Managing Member and has the following contact phone number (901) 596-5758.

The enumeration date for this NPI number is 4/24/2014 and was last updated on 11/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0221XDentistPediatric Dentistry26380TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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