SUNIL KUMAR REDDY GUDDETI D.M.D NPI 1336589951

NPI Information

NPI: 1336589951
Provider Name: SUNIL KUMAR REDDY GUDDETI, D.M.D
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
6330 RIVERSIDE PLAZA LN NW STE 165
ALBUQUERQUE, NM
ZIP 87120
Phone: (571) 484-3008
Get Directions

Sunil Kumar Reddy Guddeti, D.M.D is a general practice dentist in Albuquerque, NM. 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. Sunil Kumar Reddy Guddeti, D.M.D NPI is 1336589951. 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:

6330 RIVERSIDE PLAZA LN NW STE 165
ALBUQUERQUE, NM
ZIP 87120
Phone: (571) 484-3008
Fax: (505) 639-4684

The enumeration date for this NPI number is 6/27/2013 and was last updated on 6/27/2018.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	DD4236	NEW MEXICO	Yes
2	1223G0001X	Dentist	General Practice	DS039583	PENNSYLVANIA	No
3	1223G0001X	Dentist	General Practice	29647	TEXAS	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	54501334	MEDICAID	NEW MEXICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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