Provider Demographics
NPI:1093411571
Name:NADELLA, MEGHANA
Entity Type:Individual
Prefix:
First Name:MEGHANA
Middle Name:
Last Name:NADELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9156 TARTAN FIELDS DR
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-8878
Mailing Address - Country:US
Mailing Address - Phone:614-766-1500
Mailing Address - Fax:
Practice Address - Street 1:572 METRO PL N
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-5317
Practice Address - Country:US
Practice Address - Phone:614-766-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.027053122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist