Provider Demographics
NPI:1518213867
Name:NANNAPANENI, CHAKRAPANI (DDS)
Entity Type:Individual
Prefix:
First Name:CHAKRAPANI
Middle Name:
Last Name:NANNAPANENI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 N GARLAND AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-9417
Mailing Address - Country:US
Mailing Address - Phone:972-276-4888
Mailing Address - Fax:972-276-7888
Practice Address - Street 1:1605 N GARLAND AVE
Practice Address - Street 2:SUITE C
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-9417
Practice Address - Country:US
Practice Address - Phone:972-276-4888
Practice Address - Fax:972-276-7888
Is Sole Proprietor?:No
Enumeration Date:2012-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX29273122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist