Sandeep Thota

Dentist · Bloomington, IL

Individual Active NPI

NPI number 1467835223

Practice location

1407 N Veterans Pkwy
Bloomington, IL 61704-6630
Phone
(314) 651-6550

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NPI record

NPI
1467835223
Entity type
Individual (Type 1)
Enumeration date
June 29, 2015
Last updated
June 29, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 12012339A IN

About Sandeep Thota

Sandeep Thota is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1407 N Veterans Pkwy, Bloomington, IL 61704-6630. The NPI number 1467835223 was assigned on June 29, 2015 and the record was last updated on June 29, 2015.

Sandeep Thota lists a license in the registry: #12012339A (IN) 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 Sandeep Thota?

The NPI number is 1467835223.

What is the phone number of Sandeep Thota?

The phone number listed for the practice location is (314) 651-6550.

Where is Sandeep Thota located?

1407 N Veterans Pkwy, Bloomington, IL 61704-6630.

What is the taxonomy code for Sandeep Thota?

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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