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Active NPI 1346970613 Individual Practitioner Male Practitioner

Dr. Sasankoti Mohan Ravi Prakash , DMD

Dentist • Mora, NM

Professional Overview & Biography Verified Profile Summary

Dr. Sasankoti Mohan Ravi Prakash, DMD is a registered healthcare professional specializing in Dentist in Mora, NM. Practice services are available at PO BOX 209 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Po Box 209

Mora, NM 877320209

Telephone 5054293999
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mora, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
1 Specialists

Practicing in Mora, NM (630 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: 2026-07-28
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NM DB-2025-0027

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location July 28, 2026

Registered at PO BOX 209, MORA, NM 877320209 (Tel: 5054293999)

📍
Updated Business Mailing Address July 28, 2026

Registered at PO BOX 209, MORA, NM 877320209 (Tel: 5054293999)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2026

Dentist (License #DB-2025-0027 in NM)

📍
Updated Practice Location May 16, 2023

Registered at 360 N IRBY ST, FLORENCE, SC 295012808 (Tel: 8436679414)

📍
Updated Business Mailing Address May 16, 2023

Registered at 360 N IRBY ST, FLORENCE, SC 295012808 (Tel: 8436679414)

NPI Profile Active June 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2022

Registered at 1935 S RANGE LINE RD, JOPLIN, MO 648043238 (Tel: 4177264087)

📍
Updated Business Mailing Address June 10, 2022

Registered at 1935 S RANGE LINE RD, JOPLIN, MO 648043238 (Tel: 4177264087)

👤
Provider Name / Credentials Updated June 10, 2022

Recorded as SASANKOTI MOHAN RAVI PRAKASH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2022

Dentist (License #2022020817 in MO)

🟢
Initial NPI Registration & Enumeration June 10, 2022

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: 1346970613
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2022
Last Update: July 28, 2026
Sole Proprietor: No

Mailing Address

Po Box 209

Mora, NM 877320209

Phone: 5054293999

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.