Provider Demographics
NPI:1801021605
Name:THIRUMALAI, SATYANARAYANAN T (DMD)
Entity Type:Individual
Prefix:DR
First Name:SATYANARAYANAN
Middle Name:T
Last Name:THIRUMALAI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:481 SUNDANCE PARKWAY
Mailing Address - Street 2:STE 250
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-2081
Mailing Address - Country:US
Mailing Address - Phone:512-358-1215
Mailing Address - Fax:512-358-1266
Practice Address - Street 1:481 SUNDANCE PARKWAY
Practice Address - Street 2:STE 250
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78681-2081
Practice Address - Country:US
Practice Address - Phone:512-358-1215
Practice Address - Fax:512-358-1266
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-21
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT010037122300000X, 1223G0001X
TX272571223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice