SUJATHA L REVUR GENERAL DENTISTRY
NPI 1780695130
Dentist in Worcester, MA

Q: What is Sujatha Revur's NPI number?

The NPI number for Sujatha Revur is 1780695130. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Q: What is Sujatha Revur's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sujatha Revur was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 11, 2006

26 QUEEN ST, DENTAL, WORCESTER, MA 01610(508) 860-7700(508) 860-7990 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Sujatha L Revur General Dentistry NPPES

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

SUJATHA L REVUR GENERAL DENTISTRY (NPI 1780695130) is an individual dentist in Worcester, Massachusetts, licensed in Massachusetts (19824) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1780695130

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSUJATHA L REVURCredential: GENERAL DENTISTRY

Location Address26 QUEEN ST, DENTALWorcester, MA 01610-2473

Mailing Address26 Queen St, DentalWorcester, MA 01610-2473 · (508) 860-7700 · Fax (508) 860-7990

Phone(508) 860-7700

Fax(508) 860-7990

Sole ProprietorNo

Enumeration DateAugust 11, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1780695130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MA · 19824

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.

26 QUEEN ST, Worcester, MA 01610

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Other Identifiers 10

Other19824MA · Anthem Bluecare

Other19824MA · Altus Dental

Other41770MA · Harvard Pilgrim

Other19824MA · Anthem Bcbs Dental

Other19824MA · Ameritas

Other19824MA · Bcbs Dental

OtherY10141MA · Bcbs Dental-group

Medicaid1300709MA

Other19824MA · Guardian Dental

Medicare UPINOTHOOOMA

Accepted Insurance

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

Other Providers at the Same Location NPPES 20

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

HA TOOHEY

Specialist