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NPI Code Detail

MEDICARE: DR. SUNITHA P CHINNAKONDA DDS

MEDICARE:  DR. SUNITHA P CHINNAKONDA  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 Dentistry22DI02042400NJ

General Provider Information

NPI Number : 1508089822
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUNITHA P CHINNAKONDA DDS
Provider Business Mailing Address
First Line : 23 ROOSEVELT WAY
Second Line :
City : ROBBINSVILLE
State : NJ
Zip : 08691
Country : US
Telephone Number : 609-448-8353
Fax Number :
Provider Business Practice Location Address
First Line : 3495 US HIGHWAY 1
Second Line :
City : PRINCETON
State : NJ
Zip : 08540-5933
Country : US
Telephone Number : 609-514-1666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2007
Last Update Date : 07/08/2007

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Directions to “ DR. SUNITHA P CHINNAKONDA DDS” Practice Location

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