Venkatachalam, Sivakumar

Venkatachalam, Sivakumar is an individual health care provider with primary practice located at 4675 E Sr 44 Ste 104 , Wildwood FL 34785-7461. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Venkatachalam, Sivakumar can be contacted via phone (352) 418-3041.

Contact Information

Primary practice address
4675 E Sr 44 Ste 104 Wildwood FL 34785-7461
Phone: (352) 418-3041
Fax: (352) 502-4141
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN25890 Florida

Profile Details

NPI number 1285202796
LBN Legal business name Venkatachalam, Sivakumar
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2021
Last updated Jun 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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