Individual provider · Type 1 NPI
Nikita Kuppanda
Pediatric Dentistry · Maricopa, AZ
NPI number
1649648668
Active
Practice location
21116 N John Wayne Pkwy Ste B7
Maricopa, AZ 85139-2932
Fax (520) 568-0443
Other practice locations
- 1295 E Florence Blvd Ste 4, Casa Grande, AZ 85122-4299 · (520) 436-0843
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | DD4368 (NM) |
| Pediatric Dentistry Primary | 1223P0221X | 10316 (AZ) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Another provider at this address
Other pediatric dentistry providers in Maricopa
About NPI 1649648668
Nikita Kuppanda's National Provider Identifier is 1649648668, issued on Sep 8, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Maricopa, AZ. The record was last updated on Jan 19, 2024.