DR. THIRUVANAMALAI P SIVAKUMAR (NPI# 1164405767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164405767 |
| Entity Type | Individual |
| Full Name | DR. THIRUVANAMALAI P SIVAKUMAR |
| Credential | D.D.S. |
| Practice Address |
7360 Guildford Drive Suite 102 Frederick MD 21704 |
| Practice Telephone | 3016682662 |
| Practice Fax Number | 3016630971 |
| Mailing Telephone | 3016682662 |
| Mailing Fax Number | 3016630971 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
13749 | MD | Dental Providers |
| Street Address |
7360 GUILDFORD DRIVE SUITE 102 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144747148 | Danah Jack | Physical Therapist | 4070 Atterbury Place, Frederick, MD 21704 | 2017-08-29 |
| 1568986891 | Amy Benjamin Slp | Speech-Language Pathologist | 8905 Amelung St, Frederick, MD 21704 | 2017-07-28 |
| 1104352368 | Mentor-maryland | Community/Behavioral Health | 5970 Frederick Crossing Lane, #202, Frederick, MD 21704 | 2017-05-10 |
| 1699193284 | Jiang Tan | Acupuncturist | 3520 Worthington Blvd #101, Frederick, MD 21704 | 2014-04-01 |
| 1326460817 | Jessica Lacayo | Nurse Practitioner | 3350 Worthington Boulevard, Urbana, MD 21704 | 2014-01-17 |
| 1588098818 | Kimberly Kaye Dipietro | Registered Nurse | 9006 Harris Street, Frederick, MD 21704 | 2013-08-22 |
| 1831432525 | Yuqing Meng | Pharmacist | 9317 Elgin Lane, Frederick, MD 21704 | 2013-04-01 |
| 1831446285 | Diane Marie Foland | Behavioral Analyst | 4235 Lafayette Street, Frederick, MD 21704 | 2012-08-03 |
| 1982932695 | Contemporary Therapeutic Services Inc | Community/Behavioral Health | 22 N Potomac Street, Ste 102, Hagerstown, MD 21704 | 2009-11-19 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| Find all providers in zip 21704 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043694623 | Frederick Kidds Pediatric Dentistry LLC | Dentist | 211 Shorebird St Ste B, Frederick, MD 21701-1963 | 2015-07-14 |
| 1255631370 | Frederick Pediatric Dentistry, LLC | Dentist | 77 Thomas Johnson Dr., Ste. A, Frederick, MD 21702 | 2010-10-22 |
| 1295042398 | Joonghyuk Kim | Dentist | 57a Thomas Johnson Drive, Frederick, MD 21702 | 2010-09-10 |
| 1942461181 | Hoa T K Lam | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2008-06-20 |
| 1649441494 | Dr.sivakumar Pediatric Dental Center LLC | Dentist | 57a Thomas Johnson Dr, Frederick, MD 21702-4301 | 2008-03-20 |
| 1114094398 | Pediatric Dental Center of Frederick, LLC | Dentist | 7360 Guilford Dr, 102, Frederick, MD 21704-5124 | 2006-11-30 |
| 1154302313 | Joseph Louis Camacho | Dentist | 77 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4893 | 2005-11-07 |
| 1639554876 | Pediatric Dental Care, LLC | Dentist | 1011 E Patrick St, Frederick, MD 21701-3119 | 2015-07-29 |
| 1316353071 | Robert Hashemi | Dentist | 7360 Guilford Drive, Suite #102, Frederick, MD 21704 | 2014-07-02 |
| 1225163686 | Savithri Sivakumar | Dentist | 350 Montevue Ln, Frederick, MD 21702-8214 | 2007-02-23 |
| Find all providers in FREDERICK | ||||
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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.