Provider Demographics
NPI:1558525204
Name:SUKHANI, GEETA RAMESH (DDS)
Entity Type:Individual
Prefix:DR
First Name:GEETA
Middle Name:RAMESH
Last Name:SUKHANI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:GEETA
Other - Middle Name:
Other - Last Name:SUKHANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7300 FRANCE AVE S #110
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435
Mailing Address - Country:US
Mailing Address - Phone:952-831-0414
Mailing Address - Fax:952-831-1116
Practice Address - Street 1:7300 FRANCE AVE S #110
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435
Practice Address - Country:US
Practice Address - Phone:952-831-0414
Practice Address - Fax:952-831-1116
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND120051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1831261510OtherTYPE II NPI