Provider Demographics
NPI:1023310810
Name:CITINENI, SINDHURA (DDS)
Entity type:Individual
Prefix:DR
First Name:SINDHURA
Middle Name:
Last Name:CITINENI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 DURHAM CHAPEL HILL BLVD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-2661
Mailing Address - Country:US
Mailing Address - Phone:919-493-2569
Mailing Address - Fax:919-493-5437
Practice Address - Street 1:3616 DURHAM CHAPEL HILL BLVD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2661
Practice Address - Country:US
Practice Address - Phone:919-493-2569
Practice Address - Fax:919-493-5437
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC90471223P0221X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223P0221XDental ProvidersDentistPediatric Dentistry