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Active NPI 1023863636 Individual Practitioner Male Practitioner

Dr. Surendra Pattathan , DDS

Dentist • Brocton, NY

Professional Overview & Biography Verified Profile Summary

Dr. Surendra Pattathan, DDS is a registered healthcare professional specializing in Dentist in Brocton, NY. Practice services are available at 9300 LAKE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9300 Lake Ave

Brocton, NY 147169621

Telephone 6317904083

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Brocton, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Brocton, NY (6355 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: 2024-04-18
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 36626

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1114200235

Doctor of Dental Surgery

Dr. Nabil Khalil , MD

General Practice

NPI 1689796757

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 18, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2024

Registered at 9300 LAKE AVE, BROCTON, NY 147169621 (Tel: 6317904083)

📍
Updated Business Mailing Address April 18, 2024

Registered at 9300 LAKE AVE, BROCTON, NY 147169621 (Tel: 7167927100)

👤
Provider Name / Credentials Updated April 18, 2024

Recorded as SURENDRA PATTATHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2024

Dentist (License #36626 in NY)

🟢
Initial NPI Registration & Enumeration April 18, 2024

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: 1023863636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2024
Last Update: April 18, 2024
Sole Proprietor: No

Mailing Address

9300 Lake Ave

Brocton, NY 147169621

Phone: 7167927100

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.