Provider Demographics
NPI:1073778015
Name:SUNILKUMAR ARUNAGIRI
Entity Type:Organization
Organization Name:SUNILKUMAR ARUNAGIRI
Other - Org Name:CLARKSVILLE FAMILYDENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ARUNAGIRI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:931-551-8705
Mailing Address - Street 1:1498 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-3846
Mailing Address - Country:US
Mailing Address - Phone:931-551-8705
Mailing Address - Fax:931-551-8461
Practice Address - Street 1:1498 MADISON ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-3846
Practice Address - Country:US
Practice Address - Phone:931-551-8705
Practice Address - Fax:931-551-8461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4104383OtherBCBSTN
MA1BOK8COtherBCBSMI
TN1607739OtherUNITED CONCORDIA