Provider Demographics
NPI:1861577769
Name:ARUNAGIRI, SUNIL KUMAR (DDS)
Entity type:Individual
Prefix:DR
First Name:SUNIL
Middle Name:KUMAR
Last Name:ARUNAGIRI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1498 MADISON STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-3846
Mailing Address - Country:US
Mailing Address - Phone:931-551-8705
Mailing Address - Fax:931-551-8461
Practice Address - Street 1:1498 MADISON STREET
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-3846
Practice Address - Country:US
Practice Address - Phone:931-551-8705
Practice Address - Fax:931-551-8461
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2017-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNDS00000083411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice