# SURYA P. DHAKAR, D.D.S., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669650750
- **Authorized official:** DR. SURYA P. DHAKAR D.D.S. (PRESIDENT)
- **Authorized official phone:** (804) 217-9820

## Contact information

- **Practice address:** 4440 SPRINGFIELD RD STE 101, GLEN ALLEN, VA 23060-3410
- **Practice address phone:** (804) 217-9820
- **Practice address fax:** (804) 217-9822
- **Mailing address:** 4440 SPRINGFIELD RD STE 101, GLEN ALLEN, VA 23060-3410
- **Mailing address phone:** (804) 217-9820
- **Mailing address fax:** (804) 217-9822

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401410078 | VA | Yes |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 01/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 14534 | OTHER | VA |
| 01 | — | 817248 | OTHER | VA |