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NPI Code Detail

MEDICARE: DR. SUNAINA PURI DDS

MEDICARE: DR. SUNAINA PURI 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 DentistryDEN.00206206CO

General Provider Information

NPI Number : 1912763483
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUNAINA PURI DDS
Provider Business Mailing Address
First Line : 10780 WASHINGTON ST
Second Line :
City : NORTHGLENN
State : CO
Zip : 80233-3439
Country : US
Telephone Number : 303-452-6630
Fax Number :
Provider Business Practice Location Address
First Line : 10780 WASHINGTON ST
Second Line :
City : NORTHGLENN
State : CO
Zip : 80233-3439
Country : US
Telephone Number : 303-452-6630
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2024
Last Update Date : 03/24/2025

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