Provider Demographics
NPI:1780420844
Name:MOTUPALLI, APOORVA
Entity type:Individual
Prefix:DR
First Name:APOORVA
Middle Name:
Last Name:MOTUPALLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11770 HAYNES BRIDGE RD STE 605
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-1971
Mailing Address - Country:US
Mailing Address - Phone:678-689-0205
Mailing Address - Fax:
Practice Address - Street 1:11770 HAYNES BRIDGE RD STE 605
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-1971
Practice Address - Country:US
Practice Address - Phone:678-689-0205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-08
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN1234491223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice