PRAVEEN KUMAR GONUGUNTLA KAMMA DMD NPI 1104479724

NPI Information

Praveen Kumar Gonuguntla Kamma, DMD is a general practice dentist in Killeen, TX. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Praveen Kumar Gonuguntla Kamma, DMD NPI is 1104479724. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3650 W STAN SCHLUETER LOOP STE 160
KILLEEN, TX
ZIP 76549-814
Phone: (254) 699-6000

The NPI 1104479724 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/23/2019 and was last updated on 11/17/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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