Provider Demographics
NPI:1851487078
Name:NADELLA, SREE LAKSHMI (DDS)
Entity Type:Individual
Prefix:DR
First Name:SREE
Middle Name:LAKSHMI
Last Name:NADELLA
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 1:16429 N 105TH WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-9035
Mailing Address - Country:US
Mailing Address - Phone:404-660-4856
Mailing Address - Fax:
Practice Address - Street 1:16429 N 105TH WAY
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85255-9035
Practice Address - Country:US
Practice Address - Phone:404-660-4856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9014122300000X
GA013022122300000X
AZD008580122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist