Individual provider · Type 1 NPI

Sanjana Reddy Mamidi, DDS

General Practice Dentistry · Philadelphia, PA

NPI number 1689414872 Active

Practice location

2301 E Allegheny Ave
Philadelphia, PA 19134-4427

Call (215) 282-8000 Map

Mailing address

36 Greyhound Ct
Kendall Park, NJ 08824-1492

Other practice locations

  • 300 2nd Ave, Long Branch, NJ 07740-6303 · (732) 923-6790

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001XDS045038 (PA)

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 1689414872

Sanjana Reddy Mamidi, DDS's National Provider Identifier is 1689414872, issued on May 28, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Philadelphia, PA. The record was last updated on May 15, 2025.