Provider Demographics
NPI:1467778076
Name:BHATTARAI, SUNITI
Entity Type:Individual
Prefix:DR
First Name:SUNITI
Middle Name:
Last Name:BHATTARAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SUNITI
Other - Middle Name:
Other - Last Name:BHATTARAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:800 ROSE ST RM D104
Mailing Address - Street 2:UNIVERSITY OF KENTUCKY COLLEGE OF DENTISTRY
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0297
Mailing Address - Country:US
Mailing Address - Phone:859-323-5831
Mailing Address - Fax:859-257-5859
Practice Address - Street 1:800 ROSE ST RM D104
Practice Address - Street 2:800 ROSE STREET, ROOM D104
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0297
Practice Address - Country:US
Practice Address - Phone:859-323-5831
Practice Address - Fax:859-257-5859
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA04014 127091223G0001X
KY96751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice