Provider Demographics
NPI:1700271491
Name:SUMA RAJESH,DMD,PLLC
Entity Type:Organization
Organization Name:SUMA RAJESH,DMD,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUMA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARAKKAL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:617-763-4558
Mailing Address - Street 1:9 ANNABELLE CT
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03062-3096
Mailing Address - Country:US
Mailing Address - Phone:617-763-4558
Mailing Address - Fax:
Practice Address - Street 1:9 ANNABELLE CT
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03062-3096
Practice Address - Country:US
Practice Address - Phone:617-763-4558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-31
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental