Organization
DR DEEPA S DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SRIRAM CHELLAPPAN (PRESIDENT & CEO)
(301) 367-6826
Entity
Organization
Contact information
Practice address
10313 GEORGIA AVE STE 304, SILVER SPRING, MD 20902-5006
(301) 927-2900
Mailing address
10313 GEORGIA AVE STE 304, SILVER SPRING, MD 20902-5006
(301) 927-2900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/26/2025
Last updated
09/26/2025
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