Provider Demographics
NPI:1982621835
Name:THUNGA, MEERA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MEERA
Middle Name:
Last Name:THUNGA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 READING RD
Mailing Address - Street 2:SUITE J
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-2654
Mailing Address - Country:US
Mailing Address - Phone:513-770-0063
Mailing Address - Fax:513-770-0102
Practice Address - Street 1:969 READING RD
Practice Address - Street 2:SUITE J
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-2654
Practice Address - Country:US
Practice Address - Phone:513-770-0063
Practice Address - Fax:513-770-0102
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH218271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2458273Medicaid