Provider Demographics
NPI:1760723431
Name:DEEPA SANKAR,LLC
Entity Type:Organization
Organization Name:DEEPA SANKAR,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEEPA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANKAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-463-8192
Mailing Address - Street 1:56 GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:SEYMOUR
Mailing Address - State:CT
Mailing Address - Zip Code:06483-2961
Mailing Address - Country:US
Mailing Address - Phone:203-463-8192
Mailing Address - Fax:203-463-8290
Practice Address - Street 1:56 GARDEN ST
Practice Address - Street 2:
Practice Address - City:SEYMOUR
Practice Address - State:CT
Practice Address - Zip Code:06483-2961
Practice Address - Country:US
Practice Address - Phone:203-463-8192
Practice Address - Fax:203-463-8290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-06
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0094621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty