Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Suryamanga D Achyuta, DDS, Inc

Organization General Practice Dentistry · NPI 1104001015

Suryamanga D Achyuta, DDS, Inc is a General Practice Dentistry in Petaluma, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1372 N McDowell Blvd SUITE#B-1
Petaluma, CA 94954-1179
Phone: (707) 778-9993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 51889 (CA)

Record details

NPI number1104001015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suryamanga Achyuta — Dentist · (707) 778-9993
NPI enumeratedJanuary 9, 2008
Last updated in NPPESJanuary 9, 2008
Mailing address1372 N McDowell Blvd, Suite#B-1, Petaluma, CA 94954-1179

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