Healthcare Provider Details

I. General information

NPI: 1598463390
Provider Name (Legal Business Name): 32 DENTAL 4U
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 02/21/2023
Certification Date: 02/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3218 KIRCHOFF ROAD
ROLLING MEADOWS IL
60008
US

IV. Provider business mailing address

3218 KIRCHOFF ROAD
ROLLING MEADOWS IL
60008
US

V. Phone/Fax

Practice location:
  • Phone: 847-305-4041
  • Fax: 847-305-2674
Mailing address:
  • Phone: 847-305-4041
  • Fax: 847-305-2674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PRASUDHA KARTEEKA SUNKARA
Title or Position: PRESIDENT
Credential: DMD
Phone: 847-212-4340