Active NPIIndividual providerSole proprietor

Dr. Padma N Jonnavithula, DMD

Dentist, General Practice in Acton, Massachusetts

NPI Number1740329275
Practice location
255 Great RD, Acton, MA 01720-4739
Fax
—
Last updated
July 18, 2011

Padma Nanduri Jonnavithula is a Dentist, General Practice based in Acton, MA. Padma Nanduri Jonnavithula practices in Acton, MA and has the professional credentials of DMD. The NPI Number for Padma Nanduri Jonnavithula is 1740329275 and holds a License No. 19346 (MA). The current practice location address for Padma Nanduri Jonnavithula is 255 Great RD, Acton, MA 01720-4739 and can be reached out via phone at 978-266-1614.

Provider Profile Details

NPI Number
1740329275
Provider Name
Padma Nanduri Jonnavithula
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
255 Great RD, Acton, MA 01720-4739
Phone Number
978-266-1614
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
February 5, 2007
Last Update Date
July 18, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 Great RD
Acton, MA 01720-4739
City
Acton
Zip
01720-4739
Phone Number
978-266-1614
Acton, MA 01720Get directions →

Provider Business Mailing Address Details

Address
255 Great RD
Acton, MA 01720-4739
City
Acton
State
MA
Zip
01720-4739
Phone Number
978-266-1614

License Information

License Number
19346
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, General Practice providers near Acton, MA

View all Dentist, General Practice providers in Acton →

Frequently Asked Questions

What is the NPI number of Dr. Padma N Jonnavithula, DMD?

The NPI number of Dr. Padma N Jonnavithula, DMD is 1740329275. It was assigned on February 5, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Padma N Jonnavithula, DMD?

Dr. Padma N Jonnavithula, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number 19346.

Where does Dr. Padma N Jonnavithula, DMD practice?

The practice location is 255 Great RD, Acton, MA 01720-4739. The office can be reached at 978-266-1614 (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 1740329275 directly on the NPPES registry website.

Browse related providers