Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902482003 Individual Practitioner Male Practitioner

Daniel Kuruvilla

Dentist - Pediatric Dentistry • Yulee, FL

Professional Overview & Biography Verified Profile Summary

Daniel Kuruvilla is a registered healthcare professional specializing in Dentist - Pediatric Dentistry in Yulee, FL. Practice services are available at 463725 STATE ROAD 200 STE 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

463725 State Road 200 Ste 3

Yulee, FL 320978671

Telephone 9045849004
Fax 9043472611
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Pediatric Dentistry in Yulee, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Yulee, FL (688 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: 2021-08-08
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

State License FL DN26484

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care 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.

Secondary Practice Locations

196 Everest Ln Ste 1

Saint Johns, FL 322594103

Phone: 9045849004

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Natalia Caballero Marrero , DDS

Dentist - Pediatric Dentistry

NPI 1932661683

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 01, 2023

Registered at 463725 STATE ROAD 200 STE 3, YULEE, FL 320978671 (Tel: 9045849004)

📍
Updated Business Mailing Address September 01, 2023

Registered at 625 ELMWOOD AVE, ROCHESTER, NY 146202913

NPI Profile Active March 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2021

Registered at 625 ELMWOOD AVE, ROCHESTER, NY 146202913 (Tel: 5852755051)

📍
Updated Business Mailing Address March 20, 2021

Registered at 8392 OLD TRAFFORD CT, WILLIAMSVILLE, NY 142212938 (Tel: 7164720324)

👤
Provider Name / Credentials Updated March 20, 2021

Recorded as DANIEL KURUVILLA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 20, 2021

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: 1902482003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2021
Last Update: September 01, 2023
Sole Proprietor: No

Mailing Address

625 Elmwood Ave

Rochester, NY 146202913

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.