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

Dr. Supriya Suraj Vasanth, DMD

Individual provider General Practice Dentistry · NPI 1164757027

Dr. Supriya Suraj Vasanth, DMD is a General Practice Dentistry in Millbrae, California. Licensed in Arizona and California. Registered with an NPI since 2009.

Licensed in
AZ, CA
In the registry since
2009
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

15 El Camino Real
Millbrae, CA 94030-2603
Phone: (650) 697-9000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DDS101865 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence D7837 (AZ)

Record details

NPI number1164757027
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedOctober 12, 2009
Last updated in NPPESFebruary 11, 2022
Certification dateFebruary 11, 2022

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