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

Sruthi Sasi Prakash

Individual provider Dentist · NPI 1306530415

Sruthi Sasi Prakash is a Dentist in Columbus, Indiana. Works from 2 locations. Licensed in Indiana and North Carolina.

Licensed in
IN, NC
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

2459 W Jonathan Moore Pike
Columbus, IN 47201-9206
Phone: (812) 516-5777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5301 Williamsburg Station Ln Apt 106, Jamestown, NC 27282-7819 — (440) 753-1116

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12014264A (IN)
Dentist Taxonomy 122300000X · Licence 13254 (NC)

Record details

NPI number1306530415
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2023
Last updated in NPPESNovember 27, 2023
Certification dateNovember 17, 2023

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