Individual provider · Type 1 NPI

Nishitha Ponnamaneni

General Practice Dentistry · Dallas, TX

NPI number 1881173201 Active

Practice location

3030 Lbj Fwy Ste 1700
Dallas, TX 75234-2759

Mailing address

3030 Lyndon B Johnson Fwy Ste 1700
Dallas, TX 75234-2759

Other practice locations

  • 269 Union St, Lynn, MA 01901-1314 · (781) 581-3900

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X38550 (TX)

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.

20 other providers at this address

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About NPI 1881173201

Nishitha Ponnamaneni's National Provider Identifier is 1881173201, issued on Aug 7, 2018. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Dallas, TX. The record was last updated on Jun 14, 2022.