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

Supritha Nilam, DDS

Individual provider General Practice Dentistry · NPI 1629597562

Supritha Nilam, DDS is a Maxillofacial Surgery in Cincinnati, Ohio. Graduated from University of California, Geffen School of Medicine in 2022, 4 years ago. Practices with University Surgical-Dental Associates LLC, a 10-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Maine and Ohio.

Years since qualifying
4
Trained at
University of California, Geffen School of Medicine
Licensed in
CA, ME, OH
In the registry since
2017
Specialties on file
4
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

222 Piedmont Ave
Cincinnati, OH 45219-4231
Phone: (513) 475-8783
Fax: (513) 475-7698
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 72 Beechland Rd, Ellsworth, ME 04605-2533 — (207) 667-6789

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 30.027873 (OH)
General Practice Dentistry Taxonomy 1223G0001X · Licence DEN4589 (ME)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 30.027873 (OH)
Oral & Maxillofacial Surgery (D.M.D.) Taxonomy 204E00000X · Licence 106194 (CA)

Record details

NPI number1629597562
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedSeptember 12, 2017
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026
Mailing addressPo Box 636256, Cincinnati, OH 45263-6256

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Also practisesORAL SURGERY
Medical schoolUNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice University Surgical-Dental Associates Llc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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