Individual
DR. THIRUVANAMALAI P SIVAKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
52 THOMAS JOHNSON DR, FREDERICK, MD 21702-4501
(301) 631-0501
(301) 663-0971
Mailing address
52 THOMAS JOHNSON DR, FREDERICK, MD 21702-4501
(301) 631-0501
(301) 663-0971
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13749
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649441494
GROUP NPI
MD
Enumeration date
11/28/2005
Last updated
07/09/2025
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