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Sreenivas Koka, DDS
Prosthodontist in Leland, Mississippi
NPI 1699753319

Sreenivas Koka is a Prosthodontist based in Leland, MS and is specialized in Prosthodontics. Sreenivas Koka practices in Leland, MS and has the professional credentials of DDS. The NPI Number for Sreenivas Koka is 1699753319 and holds a License No. 63470 (Mississippi).

The current practice location address for Sreenivas Koka is 201 Baker Blvd, Leland, MS and can be reached out via phone at 662-686-4121 and via fax at 662-686-4770.

Location: 201 Baker Blvd, Leland, MS, 38756-3401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699753319
Provider Name
Sreenivas Koka
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
201 Baker Blvd, Leland, MS, 38756-3401
Phone Number
662-686-4121
Fax Number
662-686-4770
Provider Enumeration Date
01/03/2006
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
587433500 05 MN
33828500 05 WI
P00918769 01 MN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
201 Baker Blvd
City
Leland
State
Mississippi
Zip
38756-3401
Phone Number
662-686-4121
Fax Number
662-686-4770
person
Provider Business Mailing Address Details
Address
201 Baker Blvd
City
Leland
State
Mississippi
Zip
38756-3401
Phone Number
662-686-4121
Fax Number
662-686-4770
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Prosthodontics
Taxonomy
1223P0700X
License No.
63470 (California)
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
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