Organization
DR.SIVAKUMAR PEDIATRIC DENTAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. T.P. SIVAKUMAR DDS (PEDIATRIC DENTIST)
(301) 631-0501
Entity
Organization
Contact information
Practice address
52 THOMAS JOHNSON DR, FREDERICK, MD 21702-4501
(301) 631-0501
(301) 631-0601
Mailing address
52 THOMAS JOHNSON DR, FREDERICK, MD 21702-4501
(301) 631-0501
(301) 631-0601
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
13749
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164405767
INDIVIDUAL NPI
MD
Enumeration date
03/20/2008
Last updated
08/18/2025
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