Individual provider · Type 1 NPI

Sujatha Sekar Sivaraman, DMD

Pediatric Dentistry · Columbia, MO

NPI number 1477543932 Active

Practice location

2475 Broadway Bluffs Dr
Columbia, MO 65201-8148

Call (573) 777-9282 Map

Fax (573) 777-9569

Mailing address

1001 W Worley St
Columbia, MO 65203-2037

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X2005026619 (MO)
Pediatric Dentistry Primary 1223P0221X2024008518 (MO)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

8 other providers at this address

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About NPI 1477543932

Sujatha Sekar Sivaraman, DMD's National Provider Identifier is 1477543932, issued on Oct 26, 2005. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Columbia, MO. The record was last updated on Jul 25, 2024.