Active NPIIndividual provider

Prasanna Saireddy, DDS

Dentist in Nutley, New Jersey

NPI Number1770918609
Practice location
242 Washington Ave Ste D, Nutley, NJ 07110-1956
Fax
—
Last updated
June 28, 2026

Prasanna Saireddy is a Dentist based in Nutley, NJ. Prasanna Saireddy practices in Nutley, NJ and has the professional credentials of DDS. The NPI Number for Prasanna Saireddy is 1770918609 and holds a License No. 22DI02551200 (NJ). The current practice location address for Prasanna Saireddy is 242 Washington Ave Ste D, Nutley, NJ 07110-1956 and can be reached out via phone at 973-667-1567.

Provider Profile Details

NPI Number
1770918609
Provider Name
Prasanna Saireddy
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
242 Washington Ave Ste D, Nutley, NJ 07110-1956
Phone Number
973-667-1567
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
September 11, 2013
Last Update Date
June 28, 2026
Certification Date
June 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
242 Washington Ave Ste D
Nutley, NJ 07110-1956
City
Nutley
Zip
07110-1956
Phone Number
973-667-1567
Nutley, NJ 07110Get directions →

Provider Business Mailing Address Details

Address
19 Fairview Pl
Montclair, NJ 07043-2318
City
Montclair
State
NJ
Zip
07043-2318

License Information

License Number
22DI02551200
License State
NJ
Taxonomy
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 Prasanna Saireddy, DDS?

The NPI number of Prasanna Saireddy, DDS is 1770918609. It was assigned on September 11, 2013 and is currently active in the NPPES registry.

What is the specialty of Prasanna Saireddy, DDS?

Prasanna Saireddy, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22DI02551200.

Where does Prasanna Saireddy, DDS practice?

The practice location is 242 Washington Ave Ste D, Nutley, NJ 07110-1956. The office can be reached at 973-667-1567 (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 1770918609 directly on the NPPES registry website.

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