Prasida Mandapati is a Puyallup, Washington based Dentist who is specialized in Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Prasida Mandapati is DE61387262 for Dentistry in Washington. Her current practice location is 16810 Meridian Ave E Ste J107, Puyallup. Patients can reach her at 253-848-7777.
Prasida Mandapati is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Prasida Mandapati 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:
Prasida Mandapati
Specialization:
Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
16810 Meridian Ave E Ste J107, Puyallup, Washington, 98375
Phone:
253-848-7777
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:
1295405025
NPI Enumeration Date:
14 Sep, 2021
NPI Last Update On:
09 Mar, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Prasida Mandapati are as mentioned below.
License Number
Specialization
State
Status
DE61387262
Dentistry
Washington
Primary
37815
Dentistry
Texas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Prasida Mandapati such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
37815
Medicaid
Texas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
25615 Ellis Ridge Ct, Katy, Texas
Zip:
77494-6046
Phone Number:
281-450-6353
Patients can reach Prasida Mandapati at 16810 Meridian Ave E Ste J107, Puyallup, Washington or can call to book an appointment on 253-848-7777. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.