Preethy Kunthara DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D5644 Issued in AZ

Legal business name

PREETHY KUNTHARA DDS PC

Practice address

1350 S Longmore
Suite 13
Mesa, AZ 85202-9603

Phone

(480) 833-0880

Fax

(480) 833-0225

NPI assigned

Sep 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Preethy Jacob Kunthara, DDSNPI 1326037128

Title

President

Phone

(480) 833-0880

Specialties & licenses 1

Addresses

Other names 1

• Simon Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Preethy Jacob Kunthara, D.D.S

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1326037128
  NPD (past) Authorized official

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1245480565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S LONGMORE",
            "address_2": "SUITE 13",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029603",
            "telephone_number": "480-833-0880",
            "fax_number": "480-833-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 S LONGMORE",
            "address_2": "SUITE 13",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852029603",
            "telephone_number": "480-833-0880",
            "fax_number": "480-833-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREETHY KUNTHARA DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "KUNTHARA",
        "authorized_official_first_name": "PREETHY",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-833-0880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simon Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Mesa, AZ
• Providers in Mesa, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.