IndividualActive
Manvitha Kuchukulla, MDS
NPI 1760073449 · Orofacial Pain Dentistry · Glen Allen, VA
Provider details
- NPI number
- 1760073449
- Entity type
- Individual
- Primary specialty
- Orofacial Pain DentistryDental Providers
- Credential
- MDS
- Sex
- Female
- Sole proprietor
- No
- License
- 016.0133997 (VT)
Practice location
5352 Twin Hickory Rd
Glen Allen, VA 23059-5682
Phone: (804) 335-0599
Mailing address
5352 Twin Hickory Rd
Glen Allen, VA 23059-5682
Registry dates
- Enumerated
- 2021-01-27
- Last updated
- 2023-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.