Dr Sujatha Hettiarachchi Desilva, DDS | |
141 Pike St, Port Jervis, NY 12771-1807 | |
(845) 856-4002 | |
(845) 858-1127 |
Full Name | Dr Sujatha Hettiarachchi Desilva |
---|---|
Gender | Female |
Speciality | Dentist - General Practice |
Location | 141 Pike St, Port Jervis, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639251846 | NPI | - | NPPES |
03143299 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 039885 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Dr Sujatha Hettiarachchi Desilva, DDS 141 Pike St, Port Jervis, NY 12771-1807 Ph: (845) 856-4002 | Dr Sujatha Hettiarachchi Desilva, DDS 141 Pike St, Port Jervis, NY 12771-1807 Ph: (845) 856-4002 |
Dr. Seth I Horn, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 155 E Main St, Port Jervis, NY 12771 Phone: 845-856-5049 Fax: 845-856-3000 | |
Dr. Whitney Rebecca White, DMD Dentist Medicare: Medicare Enrolled Practice Location: 140 Hammond St, Port Jervis, NY 12771 Phone: 845-858-2854 | |
Dr. Ram Phull, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 16 Front St, Port Jervis, NY 12771 Phone: 845-856-3700 Fax: 845-856-2525 | |
Dr. Kunwar Nagpal, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 16 Front St, Port Jervis, NY 12771 Phone: 845-856-3700 Fax: 845-856-2525 | |
Dr. Sonia Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 137 Pike St, Port Jervis, NY 12771 Phone: 845-856-4439 Fax: 845-856-4430 | |
Dr. Muhlise Dide Tosyali, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 155 E Main St, Port Jervis, NY 12771 Phone: 845-856-5049 Fax: 845-856-3000 |