Provider Demographics
NPI:1336175447
Name:SUNTHARALINGAM, THUSHYANTHI (DDS)
Entity type:Individual
Prefix:DR
First Name:THUSHYANTHI
Middle Name:
Last Name:SUNTHARALINGAM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:THUSHA
Other - Middle Name:
Other - Last Name:LINGAM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:8715 213TH PL NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98053-2258
Mailing Address - Country:US
Mailing Address - Phone:425-898-8709
Mailing Address - Fax:
Practice Address - Street 1:15715 MAIN ST NE
Practice Address - Street 2:102
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019
Practice Address - Country:US
Practice Address - Phone:425-788-2523
Practice Address - Fax:425-788-9001
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAD000092321223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice