Madugula LLC

Dentist · Beaverton, OR

Organization Active NPI

NPI number 1760727234

Practice location

2235 NW Town Center Dr
Beaverton, OR 97006
Phone
(503) 207-0510
Fax
(503) 466-3975

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NPI record

NPI
1760727234
Entity type
Organization (Type 2)
Enumeration date
December 10, 2012
Last updated
December 10, 2012
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 9735 OR

Mailing address

PO Box 3189
Syracuse, NY 13220-3189
Phone
(315) 454-6000
Fax
(866) 803-4943

Authorized official

Name
Dr. Kala Sagar Madugula, DMD
Title
Owner
Phone
(315) 454-6000

Other names

  • Aspen Dental

About Madugula LLC

Madugula LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2235 NW Town Center Dr, Beaverton, OR 97006. The NPI number 1760727234 was assigned on December 10, 2012 and the record was last updated on December 10, 2012.

Madugula LLC lists a license in the registry: #9735 (OR) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Kala Sagar Madugula, DMD, Owner.

Frequently asked questions

What is the NPI number of Madugula LLC?

The NPI number is 1760727234.

What is the phone number of Madugula LLC?

The phone number listed for the practice location is (503) 207-0510.

Where is Madugula LLC located?

2235 NW Town Center Dr, Beaverton, OR 97006.

What is the taxonomy code for Madugula LLC?

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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