Provider Demographics
NPI:1346308848
Name:ALAPATI, SRIDEVI (DDS)
Entity Type:Individual
Prefix:DR
First Name:SRIDEVI
Middle Name:
Last Name:ALAPATI
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 1:3939 W GREEN OAKS BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-2792
Mailing Address - Country:US
Mailing Address - Phone:408-390-2397
Mailing Address - Fax:
Practice Address - Street 1:3939 W GREEN OAKS BLVD STE 102
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-2792
Practice Address - Country:US
Practice Address - Phone:408-390-2397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2013-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51541122300000X
TX22051122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist