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NPI Code Detail

MEDICARE: DR. SUNEEL MAKINENI DDS

MEDICARE:  DR. SUNEEL  MAKINENI  DDS
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
11223G0001XGeneral Practice Dentistry7126OK

General Provider Information

NPI Number : 1366924698
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUNEEL MAKINENI DDS
Provider Business Mailing Address
First Line : 17429 HAWKS TREE LN
Second Line :
City : EDMOND
State : OK
Zip : 73012-7079
Country : US
Telephone Number : 408-834-6398
Fax Number :
Provider Business Practice Location Address
First Line : 1200 S AIR DEPOT BLVD
Second Line :
City : MIDWEST CITY
State : OK
Zip : 73110-4866
Country : US
Telephone Number : 405-494-8092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2018
Last Update Date : 09/04/2018

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Directions to “ DR. SUNEEL MAKINENI DDS” Practice Location

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