Doctor profile · Federal record
Dr. Thyagaseely Premaraj, B.D.S, PHD
Orthodontics and Dentofacial Orthopedic Dentist · Orthodontics and Dentofacial Orthopedic Dentist · Davie, FL
- NPI 1790083822
- 15 yrs on file
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3200 S University Dr
Davie, FL 333282018
(954) 262-7213
fax (954) 262-7355 - Mailing address
-
Po Box 290370
Ft Lauderdale, FL 333290370
Credentials & registration
- NPI registered
- March 2011 — 15 yrs on file
- Profile last updated
- September 23, 2020
- Specialty taxonomy
- 1223X0400X — NUCC code
- State licenses (2)
- Florida #DTP716 · Nebraska #118
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1790083822. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$165
Transactions
2
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Solventum Corporation | 2 | $164.65 |
By nature of payment
Frequently asked questions
What is Dr. Thyagaseely Premaraj's medical specialty?
Dr. Thyagaseely Premaraj practices Orthodontics and Dentofacial Orthopedic Dentist in Davie, FL.
Where does Dr. Thyagaseely Premaraj practice?
Dr. Thyagaseely Premaraj practices at 3200 S University Dr, Davie, FL 333282018. Office phone: 9542627213.
What is Dr. Thyagaseely Premaraj's NPI?
Dr. Thyagaseely Premaraj's National Provider Identifier (NPI) is 1790083822, issued by NPPES.