Provider Demographics
NPI:1982841276
Name:PALADUGU, NEELIMA (DDS)
Entity Type:Individual
Prefix:
First Name:NEELIMA
Middle Name:
Last Name:PALADUGU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:NEELIMA
Other - Middle Name:
Other - Last Name:TANNIRU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1553 RUTH RD
Mailing Address - Street 2:SUITE # 3
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-4075
Mailing Address - Country:US
Mailing Address - Phone:732-274-0100
Mailing Address - Fax:
Practice Address - Street 1:1553 RUTH RD
Practice Address - Street 2:SUITE # 3
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-4075
Practice Address - Country:US
Practice Address - Phone:732-274-0100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037709122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist