Individual provider · Type 1 NPI

Shelly Gupta Penumalli

General Practice Dentistry · Mayfield Heights, OH

NPI number 1205908597 Active

Practice location

5875 Landerbrook Dr Ste 250
Mayfield Heights, OH 44124-6502

Call (800) 487-4867 Map

Fax (216) 593-7533

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

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 1205908597

Shelly Gupta Penumalli's National Provider Identifier is 1205908597, issued on Nov 14, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mayfield Heights, OH. The record was last updated on Jul 8, 2007.