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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1215593868

Dr. Prashan Shanthakumar, DDS, MS is a Student in an Organized Health Care Education/Training Program in Surprise, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2019
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

13733 N Prasada Pkwy Ste 108
Surprise, AZ 85388-8014
Phone: (623) 777-3329
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D011814 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1215593868
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS , MS
Sole proprietorYes
NPI enumeratedMay 18, 2019
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023
Mailing address13733 N Prasada Pkwy Ste 108, Surprise, AZ 85388-8014

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