Provider Demographics
NPI:1467526103
Name:CHARY-REDDY, SARITHA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SARITHA
Middle Name:
Last Name:CHARY-REDDY
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 1:2250 THOUSAND OAKS DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-3989
Mailing Address - Country:US
Mailing Address - Phone:210-496-6262
Mailing Address - Fax:210-496-6263
Practice Address - Street 1:2250 THOUSAND OAKS DR
Practice Address - Street 2:SUITE 120
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3989
Practice Address - Country:US
Practice Address - Phone:210-496-6262
Practice Address - Fax:210-496-6263
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX211841223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics