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

Individual provider Dentist · NPI 1790400646

Dr. Prashanthini Nivethan, DDS is a Dentist in Fremont, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
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.

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Practice location Address checks out

3200 Mowry Ave
Fremont, CA 94538-1510
Phone: (510) 796-7600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 108049 (CA)

Record details

NPI number1790400646
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 4, 2022
Last updated in NPPESOctober 4, 2022
Certification dateOctober 4, 2022
Mailing address1031 Walnut Ave Apt 3422, Fremont, CA 94536-4575

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