Provider Demographics
NPI:1871758458
Name:THUMBIGERE MATH, VIVEK (BDS)
Entity type:Individual
Prefix:DR
First Name:VIVEK
Middle Name:
Last Name:THUMBIGERE MATH
Suffix:
Gender:M
Credentials:BDS
Other - Prefix:
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Mailing Address - Street 1:2, 1ST MAIN, BHCS LAYOUT, NEAR SUBBANNA GARDEN
Mailing Address - Street 2:VIJAYANAGAR
Mailing Address - City:BANGALORE
Mailing Address - State:KARNATAKA
Mailing Address - Zip Code:560040
Mailing Address - Country:IN
Mailing Address - Phone:91802-339-1004
Mailing Address - Fax:
Practice Address - Street 1:515 DELAWARE ST SE
Practice Address - Street 2:MOOS TOWER 7-360
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0357
Practice Address - Country:US
Practice Address - Phone:612-625-6177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR4221223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics