Provider Demographics
NPI:1821118019
Name:SUNIL, SHREEMAYI (DMD)
Entity Type:Individual
Prefix:DR
First Name:SHREEMAYI
Middle Name:
Last Name:SUNIL
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5605 FM 423 STE 600
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-8962
Mailing Address - Country:US
Mailing Address - Phone:972-987-4343
Mailing Address - Fax:469-362-1511
Practice Address - Street 1:5605 FM 423 STE 600
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-8962
Practice Address - Country:US
Practice Address - Phone:972-987-4343
Practice Address - Fax:469-362-1511
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ21904001223G0001X
TX295931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice