Dr. Sanjay R Bommu, DMD
Dentist, General Practice in Gardner, Massachusetts
1821429614- Practice location
- 49 Cross Street Ext, Gardner, MA 01440-2209
- Phone
- 978-632-5659
- Fax
- 978-632-5713
- Last updated
- December 5, 2013
Sanjay Reddy Bommu is a Dentist, General Practice based in Gardner, MA. Sanjay Reddy Bommu practices in Gardner, MA and has the professional credentials of DMD. The NPI Number for Sanjay Reddy Bommu is 1821429614 and holds a License No. DN1856434 (MA). The current practice location address for Sanjay Reddy Bommu is 49 Cross Street Ext, Gardner, MA 01440-2209 and can be reached out via phone at 978-632-5659 and via fax at 978-632-5713.
Provider Profile Details
- NPI Number
- 1821429614
- Provider Name
- Sanjay Reddy Bommu
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 49 Cross Street Ext, Gardner, MA 01440-2209
- Phone Number
- 978-632-5659
- Fax Number
- 978-632-5713
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 5, 2013
- Last Update Date
- December 5, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 49 Cross Street Ext
Gardner, MA 01440-2209 - City
- Gardner
- State
- Massachusetts
- Zip
- 01440-2209
- Phone Number
- 978-632-5659
- Fax Number
- 978-632-5713
Provider Business Mailing Address Details
- Address
- 49 Cross Street Ext
Gardner, MA 01440-2209 - City
- Gardner
- State
- MA
- Zip
- 01440-2209
- Phone Number
- 978-632-5659
- Fax Number
- 978-632-5713
License Information
- License Number
- DN1856434
- 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. Sanjay R Bommu, DMD?
The NPI number of Dr. Sanjay R Bommu, DMD is 1821429614. It was assigned on December 5, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Sanjay R Bommu, DMD?
Dr. Sanjay R Bommu, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN1856434.
Where does Dr. Sanjay R Bommu, DMD practice?
The practice location is 49 Cross Street Ext, Gardner, MA 01440-2209. The office can be reached at 978-632-5659 (phone) or 978-632-5713 (fax).
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 1821429614 directly on the NPPES registry website.