JYOTIRMAIE SURYADEVARA DMD, MS
NPI 1023509395
Dentist - Periodontics in Fpo, AP

Active since May 22, 2018
3D DEN BN 3D MLG UNIT 38450, FPO, AP 96373(973) 641-5433 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2023, May 17, 2019, May 22, 2018 (3 updates tracked since 2018).

About Jyotirmaie Suryadevara Dmd, Ms NPPES

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

JYOTIRMAIE SURYADEVARA DMD, MS (NPI 1023509395) is an individual periodontics provider in Fpo, AP, licensed in Illinois (019.034186) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1023509395
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameJYOTIRMAIE SURYADEVARACredential: DMD, MS
Location Address3D DEN BN 3D MLG UNIT 38450Fpo, AP 96373-8450
Mailing Address3d Den Bn 3d Mlg Unit 38450Fpo, AP 96373-8450
Sole ProprietorNo
Enumeration DateMay 22, 2018
Last NPPES UpdateJuly 21, 20233 updates tracked since enumeration
NPPES CertifiedJuly 19, 2023
✔ NPI 1023509395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in IL · 019.034186
Definition
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.

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist
3D DEN BN 3D MLG UNIT 38450
FPO, AP 96373

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 Jyotirmaie Suryadevara's NPI number?

The NPI number for Jyotirmaie Suryadevara is 1023509395. It was assigned to this individual provider in the NPPES registry on May 22, 2018.

Where is Jyotirmaie Suryadevara located?

Jyotirmaie Suryadevara practices at 3D Den Bn 3D Mlg Unit 38450, Fpo, AP 96373. The listed phone number is (973) 641-5433.

What is Jyotirmaie Suryadevara's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Jyotirmaie Suryadevara accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Dominion National and Humana and 3 other insurers list Jyotirmaie Suryadevara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jyotirmaie Suryadevara was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.