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Active NPI 1356467930 Individual Practitioner Male Practitioner

Dr. Surendra Gopal Sirivolu , DDS MHA

Dentist - General Practice • Orlando, FL

Professional Overview & Biography Verified Profile Summary

Dr. Surendra Sirivolu, DDS MHA is a registered healthcare professional specializing in Dentist - General Practice in Orlando, FL. Practice services are available at 1768 PARK CENTER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1768 Park Center Dr
Suite # 230

Orlando, FL 328356200

Telephone 4075320192
Fax 4075323091
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Orlando, FL

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

Practicing in Orlando, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN17057

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Dental License
DN17057 (FL)

Practice Associates & Co-Workers

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

1 Associated Practitioners
Andrea Harrison , ATC, L

Specialist/Technologist - Athletic Trainer

NPI 1285697920

Certified Athletic Trainer, L

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1768 PARK CENTER DR, SUITE # 230, ORLANDO, FL 328356200 (Tel: 4075320192)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1768 PARK CENTER DR, SUITE # 230, ORLANDO, FL 328356200 (Tel: 4075320192)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SURENDRA SIRIVOLU, DDS MHA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #DN17057 in FL)

🟢
Initial NPI Registration & Enumeration March 22, 2007

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: 1356467930
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 22, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1768 Park Center Dr, Suite # 230

Orlando, FL 328356200

Phone: 4075320192

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.