Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1194417071 Individual Practitioner Female Practitioner

Sujika Tamang

Dentist - General Practice • Crestview, FL

Professional Overview & Biography Verified Profile Summary

Sujika Tamang is a registered healthcare professional specializing in Dentist - General Practice in Crestview, FL. Practice services are available at 2670 S FERDON BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2670 S Ferdon Blvd
Suite 108

Crestview, FL 32536

Telephone 8506340748
Associated Practice Facility / Clinic
🏢 Nathaniel Durtschi Dmd Pa Facility NPI 1447613328

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Crestview, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Crestview, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-06-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL 28026

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Dr. Cecilia Zhang , DMD

Dentist - General Practice

NPI 1245053107

Doctor of Dental Medicine

NPI 1609259696

Doctor of Dental Surgery

NPI 1609993781

Doctor of Dental Surgery

NPI 1730071226

Doctor of Dental Medicine

NPI 1780420299

Doctor of Dental Medicine

Dr. Wendy Hernandez Rodriguez , DMD

Dentist - General Practice

NPI 1912524299

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2023

Dentist (License #28026 in FL)

NPI Profile Active May 22, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2023

Registered at 2670 S FERDON BLVD, SUITE 108, CRESTVIEW, FL 32536 (Tel: 8506340748)

📍
Updated Business Mailing Address May 22, 2023

Registered at 232 RIVERWOOD DRIVE, CRESTVIEW, FL 32536 (Tel: 8065164333)

👤
Provider Name / Credentials Updated May 22, 2023

Recorded as SUJIKA TAMANG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 22, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194417071
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2023
Last Update: June 15, 2023
Sole Proprietor: No

Mailing Address

232 Riverwood Drive

Crestview, FL 32536

Phone: 8065164333

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.