Dr. Venu Kallam, DMD
Dentist, General Practice in Everett, Massachusetts
1518120013- Practice location
- 439 Broadway, Everett, MA 02149-3612
- Phone
- 617-944-9627
- Fax
- 617-944-9742
- Last updated
- May 12, 2025
Venu Kallam is a Dentist, General Practice based in Everett, MA. Venu Kallam practices in Everett, MA and has the professional credentials of DMD. The NPI Number for Venu Kallam is 1518120013 and holds a License No. 22210 (MA). The current practice location address for Venu Kallam is 439 Broadway, Everett, MA 02149-3612 and can be reached out via phone at 617-944-9627 and via fax at 617-944-9742.
Provider Profile Details
- NPI Number
- 1518120013
- Provider Name
- Venu Kallam
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 439 Broadway, Everett, MA 02149-3612
- Phone Number
- 617-944-9627
- Fax Number
- 617-944-9742
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 3, 2008
- Last Update Date
- May 12, 2025
- Certification Date
- May 12, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 439 Broadway
Everett, MA 02149-3612 - City
- Everett
- State
- Massachusetts
- Zip
- 02149-3612
- Phone Number
- 617-944-9627
- Fax Number
- 617-944-9742
Provider Business Mailing Address Details
- Address
- 439 Broadway
Everett, MA 02149-3612 - City
- Everett
- State
- MA
- Zip
- 02149-3612
- Phone Number
- 617-944-9627
License Information
- License Number
- 22210
- License State
- MA
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Venu Kallam, DMD?
The NPI number of Dr. Venu Kallam, DMD is 1518120013. It was assigned on July 3, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Venu Kallam, DMD?
Dr. Venu Kallam, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 22210.
Where does Dr. Venu Kallam, DMD practice?
The practice location is 439 Broadway, Everett, MA 02149-3612. The office can be reached at 617-944-9627 (phone) or 617-944-9742 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518120013 directly on the NPPES registry website.