# DR. GLEN AJITH KARUNANAYAKE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1912482704
- **Gender:** Man
- **Credential:** BDS MSC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 12014333A | IN | Yes |
| 1223E0200X | Endodontics | 68587 | ZZ | — |

## Other

- **Enumeration date:** 09/27/2018
- **Last updated:** 06/17/2026