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SURYAMANGA.D.ACHYUTA,DDS,INC
NPI 1104001015
Dentist - General Practice in Petaluma, CA

Active since January 09, 2008
1372 N MCDOWELL BLVD, SUITE#B-1, PETALUMA, CA 94954(707) 778-9993 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suryamanga.d.achyuta,dds,inc NPPES

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

SURYAMANGA.D.ACHYUTA,DDS,INC (NPI 1104001015) is a healthcare organization registered as a general practice in Petaluma, California and active in the NPI registry since January 2008. The organization lists Suryamanga D Achyuta, Dentist, as its authorized official.

NPPES Registry Identity

NPI1104001015
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSURYAMANGA.D.ACHYUTA,DDS,INC
Location Address1372 N MCDOWELL BLVD, SUITE#B-1Petaluma, CA 94954-1179
Mailing Address1372 N Mcdowell Blvd, Suite#b-1Petaluma, CA 94954-1179 · (707) 778-9993
Phone(707) 778-9993
Organization SubpartNo
Authorized OfficialSuryamanga D AchyutaDentist · (707) 778-9993
Enumeration DateJanuary 9, 2008
✔ NPI 1104001015 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 51889
Definition
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.
1372 N MCDOWELL BLVD, Petaluma, CA 94954
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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

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 Suryamanga.D.Achyuta,dds,inc's NPI number?

The NPI number for Suryamanga.D.Achyuta,dds,inc is 1104001015. It was assigned to this organization in the NPPES registry on January 9, 2008.

Where is Suryamanga.D.Achyuta,dds,inc located?

Suryamanga.D.Achyuta,dds,inc is located at 1372 N Mcdowell Blvd Suite#b-1, Petaluma, CA 94954. The listed phone number is (707) 778-9993.

What is Suryamanga.D.Achyuta,dds,inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Suryamanga.D.Achyuta,dds,inc was last updated on January 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.