Provider Demographics
NPI:1871255893
Name:SUMANA KAFLE DDS, LLC
Entity type:Organization
Organization Name:SUMANA KAFLE DDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PEDIATRIC DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SUMANA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAFLE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:571-226-0469
Mailing Address - Street 1:47467 COLDSPRING PL
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20165-7403
Mailing Address - Country:US
Mailing Address - Phone:571-226-0469
Mailing Address - Fax:
Practice Address - Street 1:10750 COLUMBIA PIKE STE 500
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4402
Practice Address - Country:US
Practice Address - Phone:240-847-0302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-07
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty