Individual provider · Type 1 NPI
Jeeva Venkataraman, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · Worcester, MA
NPI number
1457091720
Active
Practice location
59 Quinsigamond Ave Ste 101
Worcester, MA 01610-1867
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DN10001353 (MA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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About NPI 1457091720
Jeeva Venkataraman, DDS, MD's National Provider Identifier is 1457091720, issued on Apr 1, 2022. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Worcester, MA. The record was last updated on Jul 30, 2026.