VIDYA KINI KUKKUNDUR, DDS PC
NPI 1003582883
Dentist in Marlton, NJ

Active since August 20, 2021
525 ROUTE 73 S STE 105, MARLTON, NJ 08053(856) 872-2622(856) 596-1726 Get Directions Write a Review

NPPES record last updated: August 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vidya Kini Kukkundur, Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIDYA KINI KUKKUNDUR, DDS PC (NPI 1003582883), doing business as South Jersey Center For Dental Medicine, is a healthcare organization registered as a dentist in Marlton, New Jersey and active in the NPI registry since August 2021. The organization lists Vidya Kini Kukkundur, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003582883
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameVIDYA KINI KUKKUNDUR, DDS PC
Location Address525 ROUTE 73 S STE 105Marlton, NJ 08053-9643
Mailing Address2 Pendleton CtMedford, NJ 08055-8503 · (609) 903-0135
Fax(856) 596-1726
Organization SubpartYes
Authorized OfficialVidya Kini KukkundurCeo · (856) 872-2622
Enumeration DateAugust 20, 2021
NPPES CertifiedAugust 20, 2021
NPI 1003582883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
525 ROUTE 73 S STE 105, Marlton, NJ 08053

Other Names 1

Doing Business AsSouth Jersey Center For Dental Medicine

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
525 ROUTE 73 S STE 105
MARLTON, NJ 08053
Dental Hygienist
525 ROUTE 73 S STE 105
MARLTON, NJ 08053

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vidya Kini Kukkundur, Dds PC's NPI number?

The NPI number for Vidya Kini Kukkundur, Dds PC is 1003582883. It was assigned to this organization in the NPPES registry on August 20, 2021. The provider is doing business as South Jersey Center for Dental Medicine.

Where is Vidya Kini Kukkundur, Dds PC located?

Vidya Kini Kukkundur, Dds PC is located at 525 Route 73 S Ste 105, Marlton, NJ 08053. The listed phone number is (856) 872-2622.

What is Vidya Kini Kukkundur, Dds PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Vidya Kini Kukkundur, Dds PC was last updated on August 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.