Provider Demographics
NPI:1629532510
Name:PALAPARTHI, JONY
Entity Type:Individual
Prefix:
First Name:JONY
Middle Name:
Last Name:PALAPARTHI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JONY
Other - Middle Name:
Other - Last Name:PALAPARTHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:4901 KINSEY DR APT 913
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75703-3022
Mailing Address - Country:US
Mailing Address - Phone:325-261-2518
Mailing Address - Fax:
Practice Address - Street 1:409 W FERGUSON ST
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-5632
Practice Address - Country:US
Practice Address - Phone:325-261-2518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34722122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist