MEDICARE: SUNEETHA ATLURI DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	DN15925	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063525731
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUNEETHA ATLURI DMD

Provider Business Mailing Address
First Line	:	16503 DIAMOND HEAD DR
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33331-3107
Country	:	US
Telephone Number	:	954-217-3777
Fax Number	:	954-248-2484

Provider Business Practice Location Address
First Line	:	700 W HILLSBORO BLVD STE 1-109
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33441-1613
Country	:	US
Telephone Number	:	954-698-9499
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/16/2006
Last Update Date	:	05/10/2016

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