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SHOUVIK PONNUSAMY DMD
NPI 1457706202
Dentist - Oral and Maxillofacial Surgery in Round Rock, TX

Active since April 29, 2016
4010 SANDY BROOK DR STE 204, ROUND ROCK, TX 78665(512) 456-3161 Get Directions Write a Review

NPPES record last updated: September 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shouvik Ponnusamy Dmd NPPES

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

SHOUVIK PONNUSAMY DMD (NPI 1457706202) is an individual oral and maxillofacial surgery provider in Round Rock, Texas, licensed in Texas (38050) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1457706202
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameSHOUVIK PONNUSAMYCredential: DMD
Location Address4010 SANDY BROOK DR STE 204Round Rock, TX 78665-1518
Mailing Address1511 Rimstone DrCedar Park, TX 78613-7692 · (630) 267-1199
Phone(512) 456-3161
Sole ProprietorYes
Enumeration DateApril 29, 2016
Last NPPES UpdateSeptember 23, 2022
NPPES CertifiedSeptember 23, 2022
✔ NPI 1457706202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 38050
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4010 SANDY BROOK DR STE 204, Round Rock, TX 78665
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

ALEXANDER MAXWELL STEWART DMD
Dentist (General Practice)
4010 SANDY BROOK DR STE 204
ROUND ROCK, TX 78665
Williamson County (512) 375-0050
AFFORDABLE DENTURES & IMPLANTS - TEXAS, PLLC
Dentist (General Practice)
4010 SANDY BROOK DR STE 204
ROUND ROCK, TX 78665
Williamson County (512) 456-3161
DR. SARA E EMERY D.D.S.
Dentist (General Practice)
4010 SANDY BROOK DR STE 204
ROUND ROCK, TX 78665
Williamson County (512) 375-0050
DR. DANNY JACK HOLTZCLAW DDS, MS
Dentist (Periodontics)
4010 SANDY BROOK DR STE 204
ROUND ROCK, TX 78665
Williamson County (512) 375-0500

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 Shouvik Ponnusamy's NPI number?

The NPI number for Shouvik Ponnusamy is 1457706202. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Shouvik Ponnusamy located?

Shouvik Ponnusamy practices at 4010 Sandy Brook Dr Ste 204, Round Rock, TX 78665. The listed phone number is (512) 456-3161.

What is Shouvik Ponnusamy's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Shouvik Ponnusamy accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental PPO and 2 other insurers list Shouvik Ponnusamy 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 Shouvik Ponnusamy was last updated on September 23, 2022. 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.