Provider Demographics
NPI:1174835458
Name:MUPPARAJU, USHAKIRAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:USHAKIRAN
Middle Name:
Last Name:MUPPARAJU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2681 ROOSEVELT BLVD
Mailing Address - Street 2:APT 3203
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33760-2962
Mailing Address - Country:US
Mailing Address - Phone:813-449-3933
Mailing Address - Fax:
Practice Address - Street 1:2320 W BAY DR
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-1975
Practice Address - Country:US
Practice Address - Phone:727-581-3726
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN20241122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist