Sirisha Mandadi, DDS
Prosthodontics · Crest Hill, IL
Practice location
2241 Theodore StCrest Hill, IL 60403-1881
- Phone
- (815) 741-1700
- Fax
- (815) 741-8511
NPI record
- NPI
- 1215209366
- Entity type
- Individual (Type 1)
- Enumeration date
- February 6, 2012
- Last updated
- September 11, 2019
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prosthodontics Primary | 1223P0700X |
021002794 | IL |
| Prosthodontics | 1223P0700X |
1001977 | WI |
Mailing address
4627 Cedar DrNaperville, IL 60564-1155
- Phone
- (203) 921-5269
Other practice locations (1)
- 91 East Ave, 3rd Floor, Norwalk, CT 06851-5020 · (203) 299-0111
About Dr. Mandadi
Sirisha Mandadi, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 2241 Theodore St, Crest Hill, IL 60403-1881. The NPI number 1215209366 was assigned on February 6, 2012 and the record was last updated on September 11, 2019.
Dr. Mandadi lists 2 licenses in the registry: #021002794 (IL) for Prosthodontics; #1001977 (WI) for Prosthodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Sirisha Mandadi, DDS?
The NPI number is 1215209366.
What is the phone number of Dr. Mandadi?
The phone number listed for the practice location is (815) 741-1700.
Where is Dr. Mandadi located?
2241 Theodore St, Crest Hill, IL 60403-1881.
What is the taxonomy code for Dr. Mandadi?
The primary taxonomy code is 1223P0700X – Prosthodontics; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.