Gaurav Addagatla, DDS

General Practice Dentistry · Carson, CA

Individual Active NPI

NPI number 1861314775

Practice location

612 E Carson St Ste 101
Carson, CA 90745-2896
Phone
(310) 469-9355

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NPI record

NPI
1861314775
Entity type
Individual (Type 1)
Enumeration date
July 30, 2026
Last updated
July 30, 2026
Certified
July 30, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DDS113414 CA

Mailing address

647 Channel Way
Costa Mesa, CA 92627-3690
Phone
(916) 749-8152

About Dr. Addagatla

Gaurav Addagatla, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 612 E Carson St Ste 101, Carson, CA 90745-2896. The NPI number 1861314775 was assigned on July 30, 2026 and the record was last updated on July 30, 2026.

Dr. Addagatla lists a license in the registry: #DDS113414 (CA) 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 Gaurav Addagatla, DDS?

The NPI number is 1861314775.

What is the phone number of Dr. Addagatla?

The phone number listed for the practice location is (310) 469-9355.

Where is Dr. Addagatla located?

612 E Carson St Ste 101, Carson, CA 90745-2896.

What is the taxonomy code for Dr. Addagatla?

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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