Provider Demographics
NPI:1023126794
Name:ARUNKUMAR, UMA (DMD)
Entity type:Individual
Prefix:
First Name:UMA
Middle Name:
Last Name:ARUNKUMAR
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 1:554 W. MAIN STREET
Mailing Address - Street 2:UPPER CUMBERLAND FAMILY DENTISTRY
Mailing Address - City:ALGOOD
Mailing Address - State:TN
Mailing Address - Zip Code:38507
Mailing Address - Country:US
Mailing Address - Phone:931-537-2254
Mailing Address - Fax:931-537-2312
Practice Address - Street 1:554 W. MAIN STREET
Practice Address - Street 2:UPPER CUMBERLAND FAMILY DENTISTRY
Practice Address - City:ALGOOD
Practice Address - State:TN
Practice Address - Zip Code:38507
Practice Address - Country:US
Practice Address - Phone:931-537-2254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010853A122300000X
INDS8980122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1516375Medicaid
TN1516375Medicaid