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

Shruthi Venugopalakrishnan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154127710

Shruthi Venugopalakrishnan is a Student in an Organized Health Care Education/Training Program in Kent, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2025
Specialties on file
2

Practice location Address checks out

25610 104th Ave SE
Kent, WA 98030-7610
Phone: (206) 913-7272
Show map & directions

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

Additional practice locations (1)

  • Uw Department Of Oral Surgery-1959 Ne Pacific Street, Seattle, WA 98195 — (206) 913-7272

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DENT.DE.70007756 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1154127710
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 24, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address25610 104th Ave Se, Kent, WA 98030-7610

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