Individual provider · Type 1 NPI
Gangadhar Immanni, DDS
General Practice Dentistry · Portales, NM
NPI number
1912285032
Active
Practice location
1515 West Fir
Portales, NM 88130
Fax (575) 356-5948
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | DD3547 (NM) |
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.
4 other providers at this address
Other general practice dentistry providers in Portales
About NPI 1912285032
Gangadhar Immanni, DDS's National Provider Identifier is 1912285032, issued on Jul 22, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Portales, NM. The record was last updated on Nov 13, 2012.