Individual provider · Type 1 NPI

Sivaraman Prakasam, B.D.S, M.S.D., PhD

Periodontics · Iowa City, IA

NPI number 1720338296 Active

Practice location

801 Newton Rd
Iowa City, IA 52242-1001

Fax (319) 335-7451

Mailing address

322 Dental Science Bldg S
Iowa City, IA 52242-1001

Other practice locations

  • 1121 W Michigan St, Ste # 422, Indianapolis, IN 46202-5211 · (317) 274-0378

Specialties and licenses

TaxonomyCodeLicense
Periodontics 1223P0300X98000607A (IN)
Periodontics Primary 1223P0300X10159 (IA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1720338296

Sivaraman Prakasam, B.D.S, M.S.D., PhD's National Provider Identifier is 1720338296, issued on Sep 12, 2012. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Iowa City, IA. The record was last updated on Oct 25, 2023.