SUMAN VIDYARTHI DDS AND NANDITHA J. VIVEKANANTHAN DDS PA NPI 1427165737

NPI Information

NPI: 1427165737
Provider Name: SUMAN VIDYARTHI, DDS AND NANDITHA J. VIVEKANANTHAN, DDS, PA
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Doing Business As: RENAISSANCE FAMILY DENTISTRY
Address: 5832 FAYETTEVILLE RD
SUITE 101
DURHAM, NC
ZIP 27713
Phone: (919) 544-7777

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NPI Details

SUMAN VIDYARTHI, DDS AND NANDITHA J. VIVEKANANTHAN, DDS, PA is a general practice dentist in Durham, NC. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SUMAN VIDYARTHI, DDS AND NANDITHA J. VIVEKANANTHAN, DDS, PA NPI is 1427165737. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Renaissance Family Dentistry.

The provider's business location address is:

5832 FAYETTEVILLE RD
SUITE 101
DURHAM, NC
ZIP 27713-290
Phone: (919) 544-7777
Fax: (919) 544-7733

The provider's authorized official is Suman Kumar Vidyarthi .
The authorized official title is Dentist and has the following contact phone number (919) 544-7777.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	7188	NORTH CAROLINA	No
2	1223G0001X	Dentist	General Practice	7817	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	89064XH	MEDICAID	NORTH CAROLINA
2	5901638	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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