Surya P Dhakar DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

00410078 Issued in VA

Legal business name

SURYA P DHAKAR DDS PC

Practice address

4440 Springfield Rd
#101
Glen Allen, VA 23060-3410

Phone

(804) 217-9820

Fax

(804) 217-9822

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Surya P Dhakar, DDS

Title

Dentist

Phone

(804) 217-9820

Specialties & licenses 1

Addresses

Other identifiers 3

Tax ID family

Surya P Dhakar DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Surya P. Dhakar, D.D.S., P.C.

  • Dentist
  • Glen Allen, VA
  • NPI 1669650750
  NPD tax ID

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922089739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 SPRINGFIELD RD",
            "address_2": "#101",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603410",
            "telephone_number": "804-217-9820",
            "fax_number": "804-217-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 SPRINGFIELD RD",
            "address_2": "#101",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230603410",
            "telephone_number": "804-217-9820",
            "fax_number": "804-217-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURYA P DHAKAR DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DHAKAR",
        "authorized_official_first_name": "SURYA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "804-217-9820",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "00410078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2107285",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "817248",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "432116",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Stribbling
• Sarah Stryhn, LCSW
• Kimberly Dawn Sturgill, PHARMD
• Monica Sumpter
• Yi Sun, M.D
• Surya P. Dhakar, D.D.S., P.C.
• Susan Archer, Inc
• Tamara Alberti Sutherland, M.D.
• Tiffanie D Sutherlin, PHD, LPC, NCC, ACS
• Suzanne Frailing, LCSW, LLC

• Dentist in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.