Individual provider · Type 1 NPI

Sirisha Gogineni, DDS

General Practice Dentistry · Mahomet, IL

NPI number 1194009142 Active

Practice location

1704 Patton Dr Ste 1
Mahomet, IL 61853-8137

Mailing address

281 Sanders Creek Pkwy
East Syracuse, NY 13057-1307

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X6795 (WI)
General Practice Dentistry Primary 1223G0001X019029242 (IL)

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.

2 other providers at this address

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About NPI 1194009142

Sirisha Gogineni, DDS's National Provider Identifier is 1194009142, issued on Oct 7, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mahomet, IL. The record was last updated on Aug 30, 2025.