Dr. Gangadhar Immanni is a Portales, New Mexico based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Gangadhar Immanni is DD3547 for General Practice Dentistry in New Mexico. His current practice location is 1515 West Fir, Portales. Patients can reach him at 575-356-6695.
Dr. Gangadhar Immanni is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Gangadhar Immanni speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Gangadhar Immanni
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
1515 West Fir, Portales, New Mexico, 88130
Phone:
575-356-6695
Fax:
575-356-5948
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1912285032
NPI Enumeration Date:
22 Jul, 2011
NPI Last Update On:
13 Nov, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gangadhar Immanni are as mentioned below.
License Number
Specialization
State
Status
DD3547
General Practice Dentistry
New Mexico
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1515 West Fir, Po Box 843 Portales, New Mexico
Zip:
88130
Phone Number:
575-356-6695
Fax Number:
575-356-5948
Patients can reach Dr. Gangadhar Immanni at 1515 West Fir, Portales, New Mexico or can call to book an appointment on 575-356-6695. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.