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

Dr. Sujatha Sekar Sivaraman, DMD

Individual provider Pediatric Dentistry · NPI 1477543932

Dr. Sujatha Sekar Sivaraman, DMD is a Pediatric Dentistry in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
Specialties on file
2
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

2475 Broadway Bluffs Dr
Columbia, MO 65201-8148
Phone: (573) 777-9282
Fax: (573) 777-9569
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 2024008518 (MO)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 2005026619 (MO)

Record details

NPI number1477543932
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 26, 2005
Last updated in NPPESJuly 25, 2024
Certification dateJuly 23, 2024

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