Individual
MR. SUNDARALINGAM PREMARAJ
Active
Individual
MR. SUNDARALINGAM PREMARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BDS, MS, PHD
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
112
NE
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-00163
KY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
DTP759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4562
BC/BS
NE
01
—
DTP759
FLORIDA DENTAL TEACHING PERMIT
FL
Enumeration date
01/23/2007
Last updated
04/06/2026
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