Dr. Praveen Kumar Mandera Govindaiah, DMD
Dentist, General Practice in East Syracuse, New York
1699938290- Practice location
- 281 Sanders Creek Parkway, C/O Aspen Dental Management Co., INC, East Syracuse, NY 13057
- Phone
- 800-966-6470
- Fax
- —
- Last updated
- July 3, 2008
Praveen Kumar Mandera Govindaiah is a Dentist, General Practice based in East Syracuse, NY. Praveen Kumar Mandera Govindaiah practices in East Syracuse, NY and has the professional credentials of DMD. The NPI Number for Praveen Kumar Mandera Govindaiah is 1699938290 and holds a License No. 22214 (MA). The current practice location address for Praveen Kumar Mandera Govindaiah is 281 Sanders Creek Parkway, C/O Aspen Dental Management Co., INC, East Syracuse, NY 13057 and can be reached out via phone at 800-966-6470.
Provider Profile Details
- NPI Number
- 1699938290
- Provider Name
- Praveen Kumar Mandera Govindaiah
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 281 Sanders Creek Parkway, C/O Aspen Dental Management Co., INC, East Syracuse, NY 13057
- Phone Number
- 800-966-6470
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 3, 2008
- Last Update Date
- July 3, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 281 Sanders Creek Parkway
C/O Aspen Dental Management Co., INC
East Syracuse, NY 13057 - City
- East Syracuse
- State
- New York
- Zip
- 13057
- Phone Number
- 800-966-6470
Provider Business Mailing Address Details
- Address
- 1 Technology Dr
Apt 4023
North Chelmsford, MA 01863-2408 - City
- North Chelmsford
- State
- MA
- Zip
- 01863-2408
- Phone Number
- 781-526-1496
License Information
- License Number
- 22214
- 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. Praveen Kumar Mandera Govindaiah, DMD?
The NPI number of Dr. Praveen Kumar Mandera Govindaiah, DMD is 1699938290. It was assigned on July 3, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Praveen Kumar Mandera Govindaiah, DMD?
Dr. Praveen Kumar Mandera Govindaiah, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 22214.
Where does Dr. Praveen Kumar Mandera Govindaiah, DMD practice?
The practice location is 281 Sanders Creek Parkway, C/O Aspen Dental Management Co., INC, East Syracuse, NY 13057. The office can be reached at 800-966-6470 (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 1699938290 directly on the NPPES registry website.