Provider Demographics
NPI:1932306420
Name:NARASIMHAMURTHY, RAGHUNANDAN B (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAGHUNANDAN
Middle Name:B
Last Name:NARASIMHAMURTHY
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 1:803 ARAGO ST
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08215-1915
Mailing Address - Country:US
Mailing Address - Phone:682-800-1994
Mailing Address - Fax:
Practice Address - Street 1:658 WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:ABSECON
Practice Address - State:NJ
Practice Address - Zip Code:08201-2302
Practice Address - Country:US
Practice Address - Phone:609-677-5155
Practice Address - Fax:609-677-5133
Is Sole Proprietor?:No
Enumeration Date:2007-06-28
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI029451001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice