Individual provider · Type 1 NPI

Prasanth Dommaraju, DMD

General Practice Dentistry · Chicago, IL

NPI number 1497317515 Active

Practice location

3924 S Archer Ave
Chicago, IL 60632-1116

Call (773) 819-7101 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019032098 (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.

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About NPI 1497317515

Prasanth Dommaraju, DMD's National Provider Identifier is 1497317515, issued on Jun 29, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Jun 29, 2019.