Krishna Gorantla, DDS

General Practice Dentistry · Flora, IL

Individual Active NPI

NPI number 1336521004

Practice location

501 N Main St
Flora, IL 62839-1405
Phone
(812) 229-2675

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NPI record

NPI
1336521004
Entity type
Individual (Type 1)
Enumeration date
June 18, 2015
Last updated
June 18, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019030203 IL

Mailing address

PO Box 223
Flora, IL 62839-0223
Phone
(812) 229-2675

About Dr. Gorantla

Krishna Gorantla, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 501 N Main St, Flora, IL 62839-1405. The NPI number 1336521004 was assigned on June 18, 2015 and the record was last updated on June 18, 2015.

Dr. Gorantla lists a license in the registry: #019030203 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Krishna Gorantla, DDS?

The NPI number is 1336521004.

What is the phone number of Dr. Gorantla?

The phone number listed for the practice location is (812) 229-2675.

Where is Dr. Gorantla located?

501 N Main St, Flora, IL 62839-1405.

What is the taxonomy code for Dr. Gorantla?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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