Individual provider · Type 1 NPI
Mousami Surapaneni
General Practice Dentistry · Temple, TX
NPI number
1053963967
Active
Practice location
3108 S 31st St Ste 2108
Temple, TX 76502-1803
Mailing address
3165 Hidalgo Loop
Round Rock, TX 78665-2156
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 35449 (TX) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1053963967
Mousami Surapaneni's National Provider Identifier is 1053963967, issued on Jul 11, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Temple, TX. The record was last updated on Jul 11, 2019.