SUGANYA NELATOOR (NPI# 1124228713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124228713 |
| Entity Type | Individual |
| Full Name | SUGANYA NELATOOR |
| Practice Address |
102 Waxhaw Professional Park Dr Ste E Waxhaw NC 28173-5025 |
| Practice Telephone | 7042563548 |
| Practice Fax Number | 7042563548 |
| Mailing Telephone | 7042563548 |
| Mailing Fax Number | 7042563548 |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2020-01-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
09619 | NC | Dental Providers |
| Street Address |
102 WAXHAW PROFESSIONAL PARK DR STE E |
| City | WAXHAW |
| State | NC |
| Zip Code | 28173-5025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033733175 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1615 Providence Road South, Marvin, NC 28173 | 2020-06-04 |
| 1225507320 | Shane Markey Dds Ms Pllc | Dentist | 8412 New Town Rd Ste A, Waxhaw, NC 28173 | 2018-11-19 |
| 1336631514 | Suganya Nelatoor,d.d.s.,p.l.l.c. | Clinic/Center | 102 E Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2018-06-04 |
| 1184120750 | Restore Healthcare Medical Group | Counselor | 500 Waxhaw Professional Park Drive, Ste 105 F, Waxhaw, NC 28173 | 2018-04-03 |
| 1730690827 | Concrete Roses Consulting | Community/Behavioral Health | 5960 Fairview Road, 323, Charlotte, NC 28173 | 2017-10-17 |
| 1861849523 | Kayla Selena Caldwell | Social Worker | 3908 Rev. H. Morrison Rd., Waxhaw, NC 28173 | 2016-05-23 |
| 1588023782 | Teri Hipp | Counselor | 101-e Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2016-02-16 |
| 1710355508 | Caresmatic Phase 1,inc. | Assisted Living Facility | 520 Pembroke Ln., Waxhaw, NC 28173 | 2015-09-10 |
| 1437564838 | Anna Waddell Schneiderman | Counselor | 104 Waxhaw Professional Park Drive, Waxhaw, NC 28173 | 2014-06-24 |
| 1467892109 | Samantha Weidele Waldman | Counselor | 9929 Rea Rd Ste 201, Waxhaw, NC 28173 | 2013-06-26 |
| Find all providers in zip 28173 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083875942 | Naina A Mahale | Dentist | 8418 New Town Rd, Waxhaw, NC 28173-8302 | 2008-06-23 |
| 1538374095 | Andrew J. Branch, D.d.s.,p.a. | Dentist | 514 North Broome Street, Waxhaw, NC 28173 | 2007-05-10 |
| 1306995790 | Sandra Mcdaniel Ruocco | Dentist | 8418 Newtown Rd, Waxhaw, NC 28173-8302 | 2007-01-09 |
| 1679654859 | Eric T Schimpfhauser | Dentist | 8175 Kensington Dr, #a, Waxhaw, NC 28173-0103 | 2006-10-17 |
| 1043309479 | Olya Banchik | Dentist | 9925 Rea Rd., Ste 104, Waxhaw, NC 28173 | 2006-10-12 |
| 1821083296 | Douglas Andrew Wolfe | Dentist | 1532 Providence Road South, Suite 220, Waxhaw, NC 28173 | 2005-09-13 |
| 1164571550 | John and Sandra Ruocco Dds Pa | Dentist | 8418 Newtown Rd, Waxhaw, NC 28173-8302 | 2007-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578846 | Abbey S. Hawkins, Dds, Pa | Dentist | 113 W Arbor Lln, Eden, NC 27288-5305 | 2020-11-04 |
| 1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
| 1023616596 | Riccobene and Associates Xli, Dds, P.a. | Dentist | 211 Midway Commons, Suite 116, Bolivia, NC 28422 | 2020-10-15 |
| 1487261947 | Daniel Conti, Dds Pllc | Dentist | 8805 Old Tom Way, Raleigh, NC 27613-5434 | 2020-09-29 |
| 1750997110 | William James Graham Iv | Dentist | Bldg B-6837 Normandy Dr, Fort Bragg, NC 28310-0001 | 2020-09-21 |
| 1194330415 | Drs Koren and Reimels Oxford Pllc | Dentist | 1419 College St Ste B, Oxford, NC 27565-2578 | 2020-09-14 |
| 1467067991 | Drs Boyd Koren and Reimels Pllc | Dentist | 117 Village Rd Ne # H, Leland, NC 28451-7413 | 2020-09-11 |
| 1205440344 | Sahil Bhardwaj | Dentist | 1432 E Main St, Lincolnton, NC 28092-3902 | 2020-09-05 |
| 1639782709 | Courtney Bullard Conn | Dentist | 315 Hwy 55, Mount Olive, NC 28365 | 2020-08-28 |
| 1013529437 | Nicholas Peter Griggs | Dentist | 7150 Market St Ste 130, Wilmington, NC 28411-9888 | 2020-08-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.