DR. SUNEEL C. KANDRU (NPI# 1801076690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801076690 |
| Entity Type | Individual |
| Full Name | DR. SUNEEL C. KANDRU |
| Credential | DDS. |
| Practice Address |
45 Dimock St Roxbury MA 02119-1208 |
| Mailing Address |
326 Nichols Road Fitchburg MA 01420 |
| Practice Telephone | 6174428800 |
| Practice Fax Number | 6175410950 |
| Mailing Telephone | 9788788100 |
| Mailing Fax Number | 9788788326 |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2020-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DL12513 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DENTAL LICENSE | 9760 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 326 Nichols Road, Fitchburg, MA 01420 | 9788788100 | 9788788326 |
| Street Address |
45 DIMOCK ST |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-1208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813856 | Debra Jean Reid | Pharmacist | 45 Dimock St, Roxbury, MA 02119-1208 | 2005-09-27 |
| 1063022028 | Hoda Hamed | Optometrist | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-08-05 |
| 1790394096 | Jonathan Foster-moore | Nurse Practitioner | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-07-23 |
| 1730797077 | Kristie Michelle Grimes-mallard | Registered Nurse | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-07-22 |
| 1558987859 | Dina Cabrejos Arauco | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-06-23 |
| 1104440908 | Joelle Sulistio | Registered Nurse | 45 Dimock St, Roxbury, MA 02119-1208 | 2020-06-08 |
| 1346883980 | Kristen Monique Beard | Registered Nurse | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-10-27 |
| 1639731649 | Alyssa Meltzer | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-07-01 |
| 1184283012 | Claudia Rizzo | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-06-13 |
| 1740849959 | Sabiha Zaman | Social Worker | 45 Dimock St, Roxbury, MA 02119-1208 | 2019-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| 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 |
|---|---|---|---|---|
| 1962836775 | Yang Yu | Dentist | 2181 Washington St Ste 101, Roxbury, MA 02119-2082 | 2013-08-28 |
| 1346896511 | Jielin Wang | Dentist | 3033 Washington St, Roxbury, MA 02119-1227 | 2019-08-14 |
| 1316590839 | Celestial Smile Dental Associates - Ma PC | Dentist | 376 Warren St, Roxbury, MA 02119-1830 | 2019-07-23 |
| 1629535158 | Mays Husam Al-saffar | Dentist | 1290 Tremont St, Roxbury, MA 02120-3432 | 2019-02-20 |
| 1225527914 | Jevae Nelson | Dentist | 55 Dimock St, Roxbury, MA 02119-1029 | 2018-05-08 |
| 1609304856 | Annie Geng | Dentist | 1290 Tremont St, Roxbury, MA 02120-3432 | 2017-06-01 |
| 1467902155 | Bassel Boulos | Dentist | 1290 Tremont St, Roxbury, MA 02120-3432 | 2016-10-06 |
| 1912359811 | Oliver Austria | Dentist | 55 Dimock St, Roxbury, MA 02119-1029 | 2016-07-05 |
| 1669822078 | Carolina Perdomo Ruiz | Dentist | 55 Dimock St, Roxbury, MA 02119-1029 | 2016-06-16 |
| 1346613312 | Rushil Rajiv Dang | Dentist | 3033 Washington St, Roxbury, MA 02119-1227 | 2015-11-12 |
| Find all providers in ROXBURY | ||||
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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.