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NPI Code Detail

MEDICARE: DR. SUJIT KUMAR MOHANTY DDS

MEDICARE: DR. SUJIT KUMAR MOHANTY 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 Dentistry0401008745VA

General Provider Information

NPI Number : 1942230560
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SUJIT KUMAR MOHANTY DDS
Provider Business Mailing Address
First Line : 1782 N PARHAM RD
Second Line :
City : RICHMOND
State : VA
Zip : 23229-4654
Country : US
Telephone Number : 804-354-0950
Fax Number :
Provider Business Practice Location Address
First Line : 1782 N PARHAM RD
Second Line :
City : RICHMOND
State : VA
Zip : 23229-4654
Country : US
Telephone Number : 804-527-1008
Fax Number : 804-527-0550
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 07/08/2007

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Directions to “ DR. SUJIT KUMAR MOHANTY DDS” Practice Location

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