Provider Demographics
NPI:1720285968
Name:PINNAMANENI, SATVIKA (DDS)
Entity Type:Individual
Prefix:DR
First Name:SATVIKA
Middle Name:
Last Name:PINNAMANENI
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 1:7715 HERON LAKES DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-1711
Mailing Address - Country:US
Mailing Address - Phone:832-215-2822
Mailing Address - Fax:
Practice Address - Street 1:26281 NORTHWEST FWY
Practice Address - Street 2:SUITE 700
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-7802
Practice Address - Country:US
Practice Address - Phone:281-758-0060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY50053110122300000X
TX23064122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist