Dr.Sujatha Lakshmi Revur,DMD,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19824 Issued in MA

Legal business name

DR.SUJATHA LAKSHMI REVUR,DMD,P.C.

Practice address

221 Boston Post Rd E
Suite 440
Marlborough, MA 01752-3527

Phone

(508) 485-8812

NPI assigned

Dec 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sujatha Lakshmi Revur, D.M.D

Title

Family Dentist

Phone

(508) 393-3029

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1932384724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 VALENTINE RD",
            "city": "NORTHBOROUGH",
            "state": "MA",
            "postal_code": "015321337",
            "telephone_number": "508-393-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 BOSTON POST RD E",
            "address_2": "SUITE 440",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523527",
            "telephone_number": "508-485-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.SUJATHA LAKSHMI REVUR,DMD,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "REVUR",
        "authorized_official_first_name": "SUJATHA",
        "authorized_official_middle_name": "LAKSHMI",
        "authorized_official_title_or_position": "FAMILY DENTIST",
        "authorized_official_telephone_number": "508-393-3029",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "19824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Marlborough, MA
• Providers in Marlborough, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.