SURENDRA PATTATHAN DDS
NPI 1023863636
Dentist in Brocton, NY

Q: What is Surendra Pattathan's NPI number?

The NPI number for Surendra Pattathan is 1023863636. It was assigned to this individual provider in the NPPES registry on April 18, 2024.

Q: What is Surendra Pattathan's specialty?

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

Active since April 18, 2024

9300 LAKE AVE, BROCTON, NY 14716(631) 790-4083 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Surendra Pattathan Dds NPPES

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

SURENDRA PATTATHAN DDS (NPI 1023863636) is an individual dentist in Brocton, New York, licensed in New York (36626) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1023863636

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSURENDRA PATTATHANCredential: DDS

Location Address9300 LAKE AVEBrocton, NY 14716-9621

Mailing Address9300 Lake AveBrocton, NY 14716-9621 · (716) 792-7100

Phone(631) 790-4083

Sole ProprietorNo

Enumeration DateApril 18, 2024

NPPES CertifiedApril 18, 2024

✔ NPI 1023863636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · 36626

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.

9300 LAKE AVE, Brocton, NY 14716

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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.

DR. DONALD DWIGHT HELLERT DDS

Dentist

9300 LAKE AVE
BROCTON, NY 14716

Chautauqua County (716) 792-7100

NABIL MOSSAD KHALIL MD

General Practice

9300 LAKE AVE
BROCTON, NY 14716

Chautauqua County (716) 792-7100

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 Surendra Pattathan's NPI number?

The NPI number for Surendra Pattathan is 1023863636. It was assigned to this individual provider in the NPPES registry on April 18, 2024.

Where is Surendra Pattathan located?

Surendra Pattathan practices at 9300 Lake Ave, Brocton, NY 14716. The listed phone number is (631) 790-4083.

What is Surendra Pattathan'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 Surendra Pattathan was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.