VIDYA KINI KUKKUNDUR (NPI# 1366690034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366690034 |
| Entity Type | Individual |
| Full Name | VIDYA KINI KUKKUNDUR |
| Credential | DDS |
| Practice Address |
1103 W Sherman Ave Vineland NJ 08360-6915 |
| Practice Telephone | 8566929333 |
| Practice Fax Number | 8566925565 |
| Mailing Telephone | 8566929333 |
| Mailing Fax Number | 8566925565 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22DI02387200 | NJ | Dental Providers |
| Street Address |
1103 W SHERMAN AVE |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-6915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568556512 | Riyadh S Hammod | Internal Medicine | 1103 W Sherman Ave, Bldg 2 Unit A, Vineland, NJ 08360-6915 | 2006-10-03 |
| 1447744297 | Michael David Roberson | Dentist | 1103 W Sherman Ave, Vineland, NJ 08360-6912 | 2018-06-15 |
| 1689082984 | Rashmi Srivastava | Dentist | 1103 W Sherman Ave, Vineland, NJ 08360-6915 | 2014-07-30 |
| 1760772156 | Gina Bennett | Dental Assistant | 1103 W Sherman Ave, Vineland, NJ 08360-6915 | 2011-04-19 |
| 1295034353 | Stacey Lynn Pomales | Dental Assistant | 1103 W Sherman Ave, Vineland, NJ 08360-6915 | 2011-03-15 |
| 1659686715 | Yashodhara Kumar | Dentist | 1103 W Sherman Ave, Vineland, NJ 08360-6915 | 2010-08-13 |
| 1437462314 | Madhuri Battula | Dentist | 1103 W Sherman Ave, Vineland, NJ 08360-6915 | 2010-07-20 |
| 1619127065 | Deepika Mahasmudram Reddy | Dentist | 1103 W Sherman Ave, Vineland, NJ 08360-6915 | 2008-09-23 |
| 1619126984 | South Jersey Gastroenterology Consultants Pa | Specialist | 1103 W Sherman Ave, Bldg 2 Unit A, Vineland, NJ 08360-6915 | 2008-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| 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 |
|---|---|---|---|---|
| 1134461015 | Paul John Marcucci Jr. | Dentist | 556 N Harding Hwy, Vineland, NJ 08360-8713 | 2013-03-19 |
| 1629329925 | Affordable Dentures - Vineland, Michelle Aitken, Dds., P.a. | Dentist | 60 W Landis Ave, Vineland, NJ 08360-8107 | 2012-09-26 |
| 1679706543 | Steven L. Rasner, Dmd, Magd | Dentist | 2106 W Landis Ave, Vineland, NJ 08360-3431 | 2009-08-26 |
| 1922257047 | Robert Henry Carlson | Dentist | 435 W Landis Ave, Vineland, NJ 08360-8105 | 2008-09-12 |
| 1396910519 | Joel Peter Agranoff | Dentist | 411 S West Ave, Vineland, NJ 08360-5248 | 2008-04-29 |
| 1578766747 | Steven Philip Weinberg | Dentist | 1725 Wynnewood Dr, Vineland, NJ 08361-6753 | 2007-06-06 |
| 1083827430 | Dentofacial Associates,pa | Dentist | 435 W. Landis Avenue, Vineland, NJ 08360 | 2007-05-08 |
| 1861604167 | William F. Dudley | Dentist | 1051 Magnolia Rd, Vineland, NJ 08360-6422 | 2007-05-07 |
| 1033236625 | Eastern Dental of Vineland, LLC | Dentist | 1145 E Chestnut Ave, Vineland, NJ 08360-5001 | 2007-03-26 |
| 1710002944 | Mark Giorno Dmd & Associate Pa | Dentist | 2581 E Chestnut Ave, Suite A, Vineland, NJ 08361-8487 | 2007-03-20 |
| Find all providers in VINELAND | ||||
Please comment or provide details below to improve the information on VIDYA KINI KUKKUNDUR.
| 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.