Suman Raghavan, DDS
General Practice Dentistry · St Augustine, FL
Practice location
149 Tuscan WaySt Augustine, FL 32092-1860
- Phone
- (904) 679-3240
NPI record
- NPI
- 1659118990
- Entity type
- Individual (Type 1)
- Enumeration date
- July 12, 2024
- Last updated
- July 12, 2024
- Certified
- July 12, 2024
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
DN29369 | FL |
Mailing address
4502 Gilead CtChantilly, VA 20151-2364
About Dr. Raghavan
Suman Raghavan, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 149 Tuscan Way, St Augustine, FL 32092-1860. The NPI number 1659118990 was assigned on July 12, 2024 and the record was last updated on July 12, 2024.
Dr. Raghavan lists a license in the registry: #DN29369 (FL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Suman Raghavan, DDS?
The NPI number is 1659118990.
What is the phone number of Dr. Raghavan?
The phone number listed for the practice location is (904) 679-3240.
Where is Dr. Raghavan located?
149 Tuscan Way, St Augustine, FL 32092-1860.
What is the taxonomy code for Dr. Raghavan?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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