Provider Demographics
NPI:1396537403
Name:SINHA, SURAJ PRASAD (DMD)
Entity type:Individual
Prefix:
First Name:SURAJ
Middle Name:PRASAD
Last Name:SINHA
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 1:751 LANSDOWNE WAY
Mailing Address - Street 2:APARTMENT NO.:105, THE COMMONS AT WINDSOR GARDENS
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062
Mailing Address - Country:US
Mailing Address - Phone:201-349-1753
Mailing Address - Fax:
Practice Address - Street 1:1141 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01850
Practice Address - Country:US
Practice Address - Phone:978-999-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-22
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program