Individual provider · Type 1 NPI

Venkatasuman Koppuravuri, DDS

General Practice Dentistry · Dallas, TX

NPI number 1245469618 Active

Practice location

3010 Lbj Fwy Ste 200
Dallas, TX 75234-2723

Call (972) 444-8888 Map

Fax (972) 243-6059

Mailing address

2298 Cherry Road
Rock Hill, SC 29732

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X24699 (TX)
General Practice Dentistry 1223G0001X30.023362 (OH)
General Practice Dentistry 1223G0001X10623 (NC)
General Practice Dentistry Primary 1223G0001X10067 (SC)

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 1245469618

Venkatasuman Koppuravuri, DDS's National Provider Identifier is 1245469618, issued on Jul 7, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Dallas, TX. The record was last updated on May 19, 2023.