Provider Demographics
NPI:1245525443
Name:REDDY, ANUPAMA H (DDS)
Entity type:Individual
Prefix:DR
First Name:ANUPAMA
Middle Name:H
Last Name:REDDY
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 1:13832 MUIRFIELD PT
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80023-9585
Mailing Address - Country:US
Mailing Address - Phone:703-625-6521
Mailing Address - Fax:
Practice Address - Street 1:5801 W 44TH AVE UNIT C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-7402
Practice Address - Country:US
Practice Address - Phone:303-433-1239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-15
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN00202308122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist