Provider Demographics
NPI:1225282296
Name:CHEPYALA, ANURITHA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ANURITHA
Middle Name:
Last Name:CHEPYALA
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 1:1750 ALMA RD STE 110
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-1863
Mailing Address - Country:US
Mailing Address - Phone:469-320-1346
Mailing Address - Fax:469-320-1356
Practice Address - Street 1:1750 ALMA RD STE 110
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-1863
Practice Address - Country:US
Practice Address - Phone:469-320-1346
Practice Address - Fax:469-320-1356
Is Sole Proprietor?:No
Enumeration Date:2008-11-04
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX240901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice