Provider Demographics
NPI:1295545606
Name:PRIYABEEDU DDS INC
Entity type:Organization
Organization Name:PRIYABEEDU DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER/DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:PRIYADARSHINI
Authorized Official - Middle Name:
Authorized Official - Last Name:BEEDU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-323-0162
Mailing Address - Street 1:1119 S PARK VICTORIA DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-6942
Mailing Address - Country:US
Mailing Address - Phone:408-945-4333
Mailing Address - Fax:408-945-4336
Practice Address - Street 1:1119 S PARK VICTORIA DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-6942
Practice Address - Country:US
Practice Address - Phone:408-945-4333
Practice Address - Fax:408-945-4336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-08
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental