Individual provider · Type 1 NPI

Prashanthi Baddam, D.M.D

Oral and Maxillofacial Surgery (Dentist) · Tempe, AZ

NPI number 1780754804 Active

Practice location

6601 S. Rural Rd., Suite 1
Tempe, AZ 85283-3747

Mailing address

753 W Honeysuckle Dr
Chandler, AZ 85248-3841

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XD5545 (AZ)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1780754804

Prashanthi Baddam, D.M.D's National Provider Identifier is 1780754804, issued on Nov 8, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Tempe, AZ. The record was last updated on Jul 8, 2007.