Provider Demographics
NPI:1225147168
Name:SAMPATH, VIDHYALAKSHMI (BDS, DDS)
Entity Type:Individual
Prefix:DR
First Name:VIDHYALAKSHMI
Middle Name:
Last Name:SAMPATH
Suffix:
Gender:F
Credentials:BDS, DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 W 104TH AVE UNIT 300
Mailing Address - Street 2:BRIGHT NOW DENTAL (MODERN DENTAL PROFESSIONALS- CO PC)
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-7752
Mailing Address - Country:US
Mailing Address - Phone:303-410-9800
Mailing Address - Fax:
Practice Address - Street 1:3003 W 104TH AVE UNIT 300
Practice Address - Street 2:BRIGHT NOW DENTAL (MODERN DENTAL PROFESSIONALS- CO PC)
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-7752
Practice Address - Country:US
Practice Address - Phone:303-410-9800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051745-1122300000X
CODEN 9235122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist