Provider Demographics
NPI:1588072656
Name:KASHYAP, SUNIL (DDS)
Entity type:Individual
Prefix:
First Name:SUNIL
Middle Name:
Last Name:KASHYAP
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 1:1601 JONES FRANKLIN RD STE 101
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-3379
Mailing Address - Country:US
Mailing Address - Phone:704-763-8242
Mailing Address - Fax:
Practice Address - Street 1:1601 JONES FRANKLIN RD STE 101
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-3379
Practice Address - Country:US
Practice Address - Phone:919-859-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-01
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9723122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist