Pramod Tadakamalla is a Peoria, Illinois 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 Pramod Tadakamalla is
019031274 for General Practice Dentistry in Illinois. His current practice location is
3510 N University St Ste C, Peoria. Patients can reach him at
309-271-7777.
Pramod Tadakamalla 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:
Pramod Tadakamalla 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: | Pramod Tadakamalla |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3510 N University St Ste C, Peoria,
Illinois, 61604-1348 |
| Phone: | 309-271-7777 |
| Fax: | 309-324-5777 |
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: | 1629591854 |
| NPI Enumeration Date: | 19 Jul, 2017 |
| NPI Last Update On: | 01 Jul, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pramod Tadakamalla are as mentioned below.
| License Number | Specialization | State | Status | |
| 019031274 | General Practice Dentistry | Illinois | Primary | |
| 019.031274 | Dentistry | Illinois | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3510 N University St Ste C,
Peoria, Illinois |
| Zip: | 61604-1348 |
| Phone Number: | 309-271-7777 |
| Fax Number: | 309-324-5777 |
Patients can reach Pramod Tadakamalla at
3510 N University St Ste C, Peoria, Illinois or can
call to book an appointment on 309-271-7777.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
13 July, 2026.