OrganizationActive
Suryamanga.d.achyuta,dds,inc
NPI 1104001015 · General Practice Dentistry · Petaluma, CA
Suryamanga.d.achyuta,dds,inc is a General Practice Dentistry organization in Petaluma, CA (NPI 1104001015).
Provider details
- NPI number
- 1104001015
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Suryamanga Achyuta, Dentist(707) 778-9993
- License
- 51889 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1372 N Mcdowell Blvd
Suite#b-1
Petaluma, CA 94954-1179
Phone: (707) 778-9993
Street-level locationGet directions
Mailing address
1372 N Mcdowell Blvd
Petaluma, CA 94954-1179
Registry dates
- Enumerated
- 2008-01-09
- Last updated
- 2008-01-09
Frequently asked questions
- What is Suryamanga.d.achyuta,dds,inc's NPI number?
- Suryamanga.d.achyuta,dds,inc's National Provider Identifier (NPI) is 1104001015, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Suryamanga.d.achyuta,dds,inc?
- Suryamanga.d.achyuta,dds,inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Suryamanga.d.achyuta,dds,inc located?
- Suryamanga.d.achyuta,dds,inc's practice location on file with NPPES is 1372 N Mcdowell Blvd, Petaluma, CA 94954-1179.
- What is Suryamanga.d.achyuta,dds,inc's phone number?
- The practice phone number listed in the NPPES registry for Suryamanga.d.achyuta,dds,inc is (707) 778-9993.
- Who is the authorized official for Suryamanga.d.achyuta,dds,inc?
- The authorized official listed on Suryamanga.d.achyuta,dds,inc's NPPES record is Suryamanga Achyuta, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Suryamanga.d.achyuta,dds,inc's NPI active?
- Yes — Suryamanga.d.achyuta,dds,inc's NPI (1104001015) is active in the NPPES registry as of the last update on 2008-01-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.