Dr. Supraja Bilakanti, DMD
Dentist, General Practice in Colonial Heights, VA. Individual provider (NPI-1).
NPI number1407186752
StatusActive
Last updated in NPPESJan 9, 2010
Details
- NPI
- 1407186752
- Entity type
- Individual (NPI-1)
- Name
- Dr. Supraja Bilakanti
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 9, 2010
- Last updated
- Jan 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 0401412574 | VA | Yes |
Practice location
400c Southpark BlvdColonial Heights, VA 23834-2974
Phone 800-904-5665 · Fax 678-904-5666
Mailing address
400 Galleria Pkwy SeSuite 800
Atlanta, GA 30339-5980
Phone 770-916-5352 · Fax 678-247-7862
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- Marco A. Beltrami, DDSNPI 1508827494
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- Colonial Heights Dental Care, INC.NPI 1003352931
- Denise Mayumi Costa Matuo, DMDNPI 1992509434
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All 29 General Practice Dentistry providers in Colonial Heights · All 715 providers in Colonial Heights
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