Individual provider · Type 1 NPI
Gaurav Addagatla, DDS
General Practice Dentistry · Carson, CA
NPI number
1861314775
Active
Practice location
612 E Carson St Ste 101
Carson, CA 90745-2896
Mailing address
647 Channel Way
Costa Mesa, CA 92627-3690
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DDS113414 (CA) |
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.
2 other providers at this address
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- Guadalupe Lustre Pereira, DMDGeneral Practice Dentistry Carson, CA NPI 1235310442
About NPI 1861314775
Gaurav Addagatla, DDS's National Provider Identifier is 1861314775, issued on Jul 30, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Carson, CA. The record was last updated on Jul 30, 2026.