Provider Demographics
NPI:1508040056
Name:ANGADI, APARNA (DDS)
Entity Type:Individual
Prefix:
First Name:APARNA
Middle Name:
Last Name:ANGADI
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 1:800 W RENNER RD
Mailing Address - Street 2:#213
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-1028
Mailing Address - Country:US
Mailing Address - Phone:972-437-1063
Mailing Address - Fax:
Practice Address - Street 1:800 W RENNER RD
Practice Address - Street 2:#213
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-1028
Practice Address - Country:US
Practice Address - Phone:972-437-1063
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX235751223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice