Healthcare Provider Details

I. General information

NPI: 1871255893
Provider Name (Legal Business Name): SUMANA KAFLE DDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2021
Last Update Date: 10/07/2021
Certification Date: 09/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10750 COLUMBIA PIKE STE 500
SILVER SPRING MD
20901-4402
US

IV. Provider business mailing address

47467 COLDSPRING PL
STERLING VA
20165-7403
US

V. Phone/Fax

Practice location:
  • Phone: 240-847-0302
  • Fax:
Mailing address:
  • Phone: 571-226-0469
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. SUMANA KAFLE
Title or Position: PEDIATRIC DENTIST
Credential: DDS
Phone: 571-226-0469