Individual provider · Type 1 NPI

Siva Sai Kumar Gandham, DDS

General Practice Dentistry · Medford, WI

NPI number 1841023249 Active

Practice location

843 W Broadway Ave
Medford, WI 54451-1307

Mailing address

1307 N Saint Joseph Ave
Marshfield, WI 54449-1340

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X6002016-15 (WI)

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.

5 other providers at this address

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About NPI 1841023249

Siva Sai Kumar Gandham, DDS's National Provider Identifier is 1841023249, issued on Aug 21, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Medford, WI. The record was last updated on Aug 11, 2026.