Provider Demographics
NPI:1962527150
Name:SAXENA, SUMEET (DDS)
Entity type:Individual
Prefix:DR
First Name:SUMEET
Middle Name:
Last Name:SAXENA
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 1:13224 PATRIOT WAY
Mailing Address - Street 2:
Mailing Address - City:WEST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02817-6012
Mailing Address - Country:US
Mailing Address - Phone:973-687-5542
Mailing Address - Fax:
Practice Address - Street 1:138 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9533
Practice Address - Country:US
Practice Address - Phone:413-584-6275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS036954122300000X
RIDEN03029122300000X
MADN22332122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist