Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SIVAKUMAR VENKATACHALAM, DMD
ActiveDR. SIVAKUMAR VENKATACHALAM, DMD is a General Dentistry healthcare provider located in WILDWOOD, Florida. NPI 1285202796 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · WILDWOOD, FL
Registration Details
- NPI Number
- 1285202796
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 12, 2021 (5.1763771081058 yrs)
- Last Updated
- Jun 12, 2021
- License
-
DN25890 (FL)
Practice Information
- Address
-
4675 E SR 44 STE 104WILDWOOD, FL, 347857461Browse FL providers · Browse ZIP 34785
- Phone
- 3524183041
- Fax
- 3525024141
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in WILDWOOD, FL
| Name | Credential | NPI |
|---|---|---|
| AMMAR MOUSA | DDS | 1962413781 |
| DR. JORDAN BRENT KENNEDY | DMD | 1083788715 |
| HSIN-YI LIU | — | 1720651458 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.