Dr. Mysore K Prasanna , DDS
Dentist • Woodbridge, VA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Mysore Prasanna has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Mysore Prasanna, DDS was a registered Dentist practicing in Woodbridge, VA. Throughout an active medical career spanning 12 years, Dr. Prasanna provided care at the practice location at 1455 OLD BRIDGE RD until profile deactivation on 2018-10-22.
Practice Location & Contact Primary Location
1455 Old Bridge Rd
Suite 205
Woodbridge, VA 22192
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Woodbridge, VA
Practicing in Woodbridge, VA (2514 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 122300000X
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
Psychiatry & Neurology - Psychiatry
Doctor of Medicine (M.D.)
Dentist - General Practice
Doctor of Dental Surgery
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 22, 2018
NPI status registered as active in NPPES database
Registered at 1455 OLD BRIDGE RD, SUITE 205, WOODBRIDGE, VA 22192 (Tel: 7034942226)
Registered at 1455 OLD BRIDGE RD, SUITE 205, WOODBRIDGE, VA 22192 (Tel: 7034942226)
Recorded as MYSORE PRASANNA, DDS
Dentist (License #410509 in VA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1455 Old Bridge Rd, Suite 205
Woodbridge, VA 22192
Phone: 7034942226
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