Provider Demographics
NPI:1700425428
Name:ORAL SOLUTIONS LLLP
Entity Type:Organization
Organization Name:ORAL SOLUTIONS LLLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PRANEETHA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLAMREDDY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:859-494-3980
Mailing Address - Street 1:200 FORT RICHARDSON DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-6010
Mailing Address - Country:US
Mailing Address - Phone:859-494-3980
Mailing Address - Fax:
Practice Address - Street 1:3001 JOE DIMAGGIO BLVD STE 1500
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-3975
Practice Address - Country:US
Practice Address - Phone:859-494-2980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-28
Last Update Date:2019-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental