SearchMissouriPediatric Dentistry

Sujatha Sivaraman, DMD

NPI 1477543932 · on the registry since 2005

Practice

Address
2475 Broadway Bluffs Dr
Columbia, MO 65201
Phone
(573) 777-9282
Fax
(573) 777-9569
Organisation at this address
Labone Llc
Compass Health, Inc.
Compass Health, Inc.
Magnolia Hospitality Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Also registered as
Pediatric Dentistry
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-07-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri