Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Suryamanga D Achyuta, DDS, Inc

Organization General Practice Dentistry · NPI 1104001015

Suryamanga D Achyuta, DDS, Inc provides General Practice Dentistry in Petaluma, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1372 N McDowell Blvd SUITE#B-1
Petaluma, CA 94954-1179 Not confirmed with CMS for 18 years — call before visiting
Phone: (707) 778-9993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 51889 (CA)

Record details

NPI number1104001015
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Suryamanga Achyuta — Dentist · (707) 778-9993
NPI enumeratedJanuary 9, 2008
Last updated in NPPESJanuary 9, 2008
Mailing address1372 N McDowell Blvd, Suite#B-1, Petaluma, CA 94954-1179

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