Provider Demographics
NPI:1508412131
Name:SUMAN RAMAKUMAR DDS INC
Entity Type:Organization
Organization Name:SUMAN RAMAKUMAR DDS INC
Other - Org Name:ACCU DENTAL & ORTHODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:SUMAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAMAKUMAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-900-6361
Mailing Address - Street 1:1180 BLOSSOM HILL RD STE 4
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95118-3114
Mailing Address - Country:US
Mailing Address - Phone:408-872-9463
Mailing Address - Fax:
Practice Address - Street 1:1180 BLOSSOM HILL RD STE 4
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95118-3114
Practice Address - Country:US
Practice Address - Phone:408-872-9463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-09
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty
No1223S0112XDental ProvidersDentistOral and Maxillofacial SurgeryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty