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

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1790083822

Dr. Thyagaseely Premaraj, BDS, PHD is an Orthodontics and Dentofacial Orthopedics Dentistry in Davie, Florida. Licensed in Florida and Nebraska. Registered with an NPI since 2011.

Licensed in
FL, NE
In the registry since
2011
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

3200 S University Dr
Davie, FL 33328-2018
Phone: (954) 262-7213
Fax: (954) 262-7355
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Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DTP716 (FL)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 118 (NE)

Record details

NPI number1790083822
Entity typeIndividual (Type 1)
GenderFemale
Credentials BDS , PHD
Sole proprietorNo
NPI enumeratedMarch 15, 2011
Last updated in NPPESSeptember 23, 2020
Certification dateSeptember 22, 2020
Mailing addressPo Box 290370, Ft Lauderdale, FL 33329-0370

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