Provider Demographics
NPI:1497199509
Name:KUMAR, ARTHI MUTHU (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARTHI
Middle Name:MUTHU
Last Name:KUMAR
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:ARTHI
Other - Middle Name:ASOKA
Other - Last Name:RAJAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:559 MIDDLE NECK RD APT 2C
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11023-1403
Mailing Address - Country:US
Mailing Address - Phone:516-743-1710
Mailing Address - Fax:
Practice Address - Street 1:559 MIDDLE NECK RD APT 2C
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11023-1403
Practice Address - Country:US
Practice Address - Phone:516-743-1710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0588971223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology