Krishnaprasanth Mudusu

Dentist · Springfield, MA

Individual Active NPI

NPI number 1285960351

Practice location

555 State St
Springfield, MA 01109-4101
Phone
(413) 736-0027

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NPI record

NPI
1285960351
Entity type
Individual (Type 1)
Enumeration date
October 26, 2009
Last updated
October 26, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DN1855282 MA

About Krishnaprasanth Mudusu

Krishnaprasanth Mudusu is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 555 State St, Springfield, MA 01109-4101. The NPI number 1285960351 was assigned on October 26, 2009 and the record was last updated on October 26, 2009.

Krishnaprasanth Mudusu lists a license in the registry: #DN1855282 (MA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Krishnaprasanth Mudusu?

The NPI number is 1285960351.

What is the phone number of Krishnaprasanth Mudusu?

The phone number listed for the practice location is (413) 736-0027.

Where is Krishnaprasanth Mudusu located?

555 State St, Springfield, MA 01109-4101.

What is the taxonomy code for Krishnaprasanth Mudusu?

The primary taxonomy code is 122300000X – Dentist.

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.

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