Padma Nanduri Jonnavithula, DMD

General Practice Dentistry · Acton, MA

Individual Active NPI

NPI number 1740329275

Practice location

255 Great Rd
Acton, MA 01720-4739
Phone
(978) 266-1614

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NPI record

NPI
1740329275
Entity type
Individual (Type 1)
Enumeration date
February 5, 2007
Last updated
July 18, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 19346 MA

About Dr. Jonnavithula

Padma Nanduri Jonnavithula, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 255 Great Rd, Acton, MA 01720-4739. The NPI number 1740329275 was assigned on February 5, 2007 and the record was last updated on July 18, 2011.

Dr. Jonnavithula lists a license in the registry: #19346 (MA) 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 Padma Nanduri Jonnavithula, DMD?

The NPI number is 1740329275.

What is the phone number of Dr. Jonnavithula?

The phone number listed for the practice location is (978) 266-1614.

Where is Dr. Jonnavithula located?

255 Great Rd, Acton, MA 01720-4739.

What is the taxonomy code for Dr. Jonnavithula?

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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