Active NPIIndividual provider

Dr. Madhavi Gottimukkula, DMD

Dentist, General Practice in Avenel, New Jersey

NPI Number1639362098
Practice location
1030 Saint Georges Ave, Avenel, NJ 07001-1390
Fax
—
Last updated
August 20, 2007

Madhavi Gottimukkula is a Dentist, General Practice based in Avenel, NJ. Madhavi Gottimukkula practices in Avenel, NJ and has the professional credentials of DMD. The NPI Number for Madhavi Gottimukkula is 1639362098 and holds a License No. 23565 (NJ). The current practice location address for Madhavi Gottimukkula is 1030 Saint Georges Ave, Avenel, NJ 07001-1390 and can be reached out via phone at 732-750-0707.

Provider Profile Details

NPI Number
1639362098
Provider Name
Madhavi Gottimukkula
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
1030 Saint Georges Ave, Avenel, NJ 07001-1390
Phone Number
732-750-0707
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 20, 2007
Last Update Date
August 20, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1030 Saint Georges Ave
Avenel, NJ 07001-1390
City
Avenel
Zip
07001-1390
Phone Number
732-750-0707
Avenel, NJ 07001Get directions →

Provider Business Mailing Address Details

Address
1030 Saint Georges Ave
Avenel, NJ 07001-1390
City
Avenel
State
NJ
Zip
07001-1390

License Information

License Number
23565
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Madhavi Gottimukkula, DMD?

The NPI number of Dr. Madhavi Gottimukkula, DMD is 1639362098. It was assigned on August 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Madhavi Gottimukkula, DMD?

Dr. Madhavi Gottimukkula, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 23565.

Where does Dr. Madhavi Gottimukkula, DMD practice?

The practice location is 1030 Saint Georges Ave, Avenel, NJ 07001-1390. The office can be reached at 732-750-0707 (phone).

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 1639362098 directly on the NPPES registry website.

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