Provider Demographics
NPI:1548577646
Name:SUBRAMANIAN, SNEHA (DMD)
Entity type:Individual
Prefix:
First Name:SNEHA
Middle Name:
Last Name:SUBRAMANIAN
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3230 S GILBERT RD STE 4
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-5110
Mailing Address - Country:US
Mailing Address - Phone:480-406-9293
Mailing Address - Fax:
Practice Address - Street 1:3230 S GILBERT RD STE 4
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-5110
Practice Address - Country:US
Practice Address - Phone:480-306-5506
Practice Address - Fax:480-306-6157
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-10
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ80491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice