Provider Demographics
NPI:1760597413
Name:SINHA, PRAMOD KUMAR (DDS MS ORTHODONTICS)
Entity Type:Individual
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First Name:PRAMOD
Middle Name:KUMAR
Last Name:SINHA
Suffix:
Gender:M
Credentials:DDS MS ORTHODONTICS
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Mailing Address - Street 1:3200 S UNIVERSITY DR RM 7346
Mailing Address - Street 2:NOVA SOUTHEASTERN UNIVERSITY, DEPARTMENT OF ORTHODONTIC
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-2018
Mailing Address - Country:US
Mailing Address - Phone:954-262-7339
Mailing Address - Fax:954-262-1782
Practice Address - Street 1:3200 S UNIVERSITY DR RM 7346
Practice Address - Street 2:NOVA SOUTHEASTERN UNIVERSITY
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-2018
Practice Address - Country:US
Practice Address - Phone:954-262-7339
Practice Address - Fax:954-262-1782
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2015-01-09
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Provider Licenses
StateLicense IDTaxonomies
WADE000081021223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics