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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHOUVIK PONNUSAMY, DMD

Active Sole Proprietor

SHOUVIK PONNUSAMY, DMD is a Oral & Maxillofacial Surgery healthcare provider located in ROUND ROCK, Texas. NPI 1457706202 is currently active in the NPPES registry. Verify at CMS.

Oral & Maxillofacial Surgery · ROUND ROCK, TX

Registration Details

NPI Number
1457706202
Provider Type
Individual
Gender
Male
NPI Issued
Apr 29, 2016 (10.282709367195 yrs)
Last Updated
Sep 23, 2022
License
38050 (TX)
Sole Proprietor
Yes

Practice Information

Address
4010 SANDY BROOK DR STE 204
ROUND ROCK, TX, 786651518
Browse TX providers · Browse ZIP 78665
Phone
5124563161
Primary Specialty
Oral & Maxillofacial Surgery
1223S0112X
Additional Specialty
Oral & Maxillofacial Surgery

Other Oral & Maxillofacial Surgery Providers in ROUND ROCK, TX

Name Credential NPI
DR. JUAN FERNANDO GONZALEZ DMD 1073575130
WILLIAM M. WYATT DDS 1003981721
DR. ROBERT J NAPLES DDS 1679796270
DR. GOPIKIRAN THOTA DDS, MD 1609000314
DR. OLUWASEGUN OLUWAFISAYO OLABODE D.D.S., M.D. 1871850057
RYAN WEBER DDS, MD 1720473515
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.