Provider Demographics
NPI:1033444948
Name:PALAKODETI, ANUPAMA (DMD)
Entity Type:Individual
Prefix:
First Name:ANUPAMA
Middle Name:
Last Name:PALAKODETI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 ARBORS PKWY S
Mailing Address - Street 2:SUITE 46
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-8817
Mailing Address - Country:US
Mailing Address - Phone:334-728-0001
Mailing Address - Fax:
Practice Address - Street 1:1800 N BLANCHARD ST
Practice Address - Street 2:DENTAL CENTER OF NORTH WEST OHIO
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-4503
Practice Address - Country:US
Practice Address - Phone:419-422-7665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH300231281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice