Thikkurissy, Sarat

Thikkurissy, Sarat is an individual health care provider with primary practice located at 3333 Burnet Ave Dentistry Ml 2006, Cincinnati OH 45229-3026. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Thikkurissy, Sarat can be contacted via phone (513) 636-4641.

Contact Information

Primary practice address
3333 Burnet Ave Dentistry Ml 2006 Cincinnati OH 45229-3026
Fax: (513) 636-8283
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 30.020996 Ohio

Profile Details

NPI number 1922095181
LBN Legal business name Thikkurissy, Sarat
Credentials DDS, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Sep 19th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922095181 NPPES
Ohio MEDICAID 2647667
Ohio MEDICAID 7100252000
Ohio MEDICAID 201218320
Ohio MEDICAID 3810026591

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