Divya Suresh

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS043996 Issued in PA

Practice address

Plymouth Meeting Family Dental
350 E Germantown Pike
East Norriton, PA 19401

Phone

(610) 828-4100

NPI assigned

Apr 13, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1235758988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 WALLACE ST APT 2E",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191232298",
            "telephone_number": "757-375-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLYMOUTH MEETING FAMILY DENTAL",
            "address_2": "350 E GERMANTOWN PIKE",
            "city": "EAST NORRITON",
            "state": "PA",
            "postal_code": "19401",
            "telephone_number": "610-828-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURESH",
        "first_name": "DIVYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stony Creek Medical Sales
• Christine Elizabeth Strunk, D.O.
• Jennifer Sturtevant, SLP
• Suburban Medical Group LLC
• Super Tooth Pediatric Dentistry
• Megan Sweeney, CRNP
• Christina Stengel Tabbut, CCC-SLP
• Sweta Tamang, MD
• Julina Taurino
• Sheila Marie Taylor-Norris, MHS

• General Practice Dentistry in East Norriton, PA
• Providers in East Norriton, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.