Provider Demographics
NPI:1508242603
Name:PALLAPATI, RUTH (DDS)
Entity Type:Individual
Prefix:DR
First Name:RUTH
Middle Name:
Last Name:PALLAPATI
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 1:1159 YONKERS AVE APT 4B
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-3256
Mailing Address - Country:US
Mailing Address - Phone:804-426-7042
Mailing Address - Fax:
Practice Address - Street 1:14 CULVER ST
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2201
Practice Address - Country:US
Practice Address - Phone:804-426-7042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-31
Last Update Date:2019-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0589781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice