Active NPIIndividual providerSole proprietor

Dr. Thanmayi Panguluri, DDS

Dentist in Bayonne, New Jersey

NPI Number1700565520
Practice location
472 Broadway, Bayonne, NJ 07002-7114
Fax
—
Last updated
March 31, 2025

Thanmayi Panguluri is a Dentist based in Bayonne, NJ. Thanmayi Panguluri practices in Bayonne, NJ and has the professional credentials of DDS. The NPI Number for Thanmayi Panguluri is 1700565520 and holds a License No. 0401418577 (VA). The current practice location address for Thanmayi Panguluri is 472 Broadway, Bayonne, NJ 07002-7114 and can be reached out via phone at 201-380-8900.

Provider Profile Details

NPI Number
1700565520
Provider Name
Thanmayi Panguluri
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
472 Broadway, Bayonne, NJ 07002-7114
Phone Number
201-380-8900
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
July 18, 2023
Last Update Date
March 31, 2025
Certification Date
March 31, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
472 Broadway
Bayonne, NJ 07002-7114
Zip
07002-7114
Phone Number
201-380-8900
Bayonne, NJ 07002Get directions →

Provider Business Mailing Address Details

Address
472 Broadway
Bayonne, NJ 07002-7114
City
Bayonne
State
NJ
Zip
07002-7114
Phone Number
571-635-7269

License Information

License Number (1)
0401418577
License State (1)
VA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI03075400
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X · 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. Thanmayi Panguluri, DDS?

The NPI number of Dr. Thanmayi Panguluri, DDS is 1700565520. It was assigned on July 18, 2023 and is currently active in the NPPES registry.

What is the specialty of Dr. Thanmayi Panguluri, DDS?

Dr. Thanmayi Panguluri, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in VA under license number 0401418577.

Where does Dr. Thanmayi Panguluri, DDS practice?

The practice location is 472 Broadway, Bayonne, NJ 07002-7114. The office can be reached at 201-380-8900 (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 1700565520 directly on the NPPES registry website.

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