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Active NPI 1629597562 Individual Practitioner Female Practitioner

Dr. Supritha Nilam , DDS

Oral & Maxillofacial Surgery • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Supritha Nilam, DDS is a certified Oral & Maxillofacial Surgery practicing in Cincinnati, OH. With approximately 4 years of clinical experience since graduating from University Of California, Geffen School Of Medicine in 2022, Dr. Nilam delivers high-quality medical care to the local community at 222 PIEDMONT AVE.

Dr. Nilam is affiliated with University Surgical-Dental Associates Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

222 Piedmont Ave

Cincinnati, OH 452194231

Telephone 5134758783
Fax 5134757698
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

University Of California, Geffen School Of Medicine

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Oral & Maxillofacial Surgery in Cincinnati, OH

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -13.3 yrs vs City Avg
City Avg: 17.3 Yrs
State Avg: 25.6 Yrs
Regional Practice Density
13 Specialists

Practicing in Cincinnati, OH (46 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

Clinical Seniority & Experience Comparison

Dr. Nilam (4 Years) 4 Yrs
Cincinnati Specialty Average (17.3 Years) 17.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-05-12
Oral & Maxillofacial Surgery Primary Specialty

NUCC Taxonomy Code: 204E00000X

State License OH 30.027873

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License ME DEN4589

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.

Dentist - Oral and Maxillofacial Surgery

NUCC Taxonomy Code: 1223S0112X

State License OH 30.027873

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Oral & Maxillofacial Surgery

NUCC Taxonomy Code: 204E00000X

State License CA 106194

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7101055250 (KY)
Medicaid State Provider ID
300130293 (IN)
Medicaid State Provider ID
0139624 (OH)

Hospital & Practice Group Affiliations

University Surgical-Dental Associates Llc

222 Piedmont Ave, Cincinnati, OH 452194224

Phone: 5134758783

Secondary Practice Locations

72 Beechland Rd

Ellsworth, ME 046052533

Phone: 2076676789

Practice Associates & Co-Workers

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

13 Associated Practitioners
Petra Olivieri

Oral & Maxillofacial Surgery

NPI 1013460658
NPI 1053389965

Doctor of Dental Medicine

Dr. Deepak Krishnan , DDS

Oral & Maxillofacial Surgery

NPI 1093974867

Doctor of Dental Surgery

Lilly Grote

Nurse Practitioner - Family

NPI 1164399572
NPI 1205898749

Doctor of Dental Medicine

Wallace Mclaurin

Oral & Maxillofacial Surgery

NPI 1467846824

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location April 18, 2025

Registered at 222 PIEDMONT AVE, CINCINNATI, OH 452194231 (Tel: 5134758783)

📍
Updated Business Mailing Address April 18, 2025

Registered at PO BOX 636256, CINCINNATI, OH 452636256 (Tel: 5135856200)

📍
Updated Business Mailing Address January 26, 2023

Registered at 10833 LE CONTE AVENUE, A0156 CHS, LOS ANGELES, CA 90095 (Tel: 3108250834)

NPI Profile Active September 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2017

Registered at 72 BEECHLAND RD, ELLSWORTH, ME 046052533 (Tel: (207) 667-6789)

📍
Updated Business Mailing Address September 12, 2017

Registered at 72 BEECHLAND RD, ELLSWORTH, ME 046052533 (Tel: 2076676789)

👤
Provider Name / Credentials Updated September 12, 2017

Recorded as SUPRITHA NILAM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2017

Dentist (License #DEN4589 in ME)

🟢
Initial NPI Registration & Enumeration September 12, 2017

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: 1629597562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2017
Last Update: May 12, 2026
Sole Proprietor: No

Mailing Address

Po Box 636256

Cincinnati, OH 452636256

Phone: 5135856200

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.