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

Individual provider General Practice Dentistry · NPI 1972028488

Dr. Sudarvizhi Sivaraman, DMD is a General Practice Dentistry in Grosse Pointe Woods, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2017
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

21219 Mack Ave
Grosse Pointe Woods, MI 48236-1045
Phone: (313) 882-7961
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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 2901022465 (MI)

Record details

NPI number1972028488
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 4, 2017
Last updated in NPPESMay 23, 2024
Certification dateMay 23, 2024

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