DR. DILEEP R KONDUR DMD MS NPI 1477059145

NPI Information

NPI: 1477059145
Provider Name: DR. DILEEP R KONDUR, DMD, MS
Classification: Dentist - 1223P0300X
Specialization: Periodontics
Entity Type: Individual
PECOS Registration: Yes
Address: 231 DAVIS RD
AUGUSTA, GA
ZIP 30907
Phone: (706) 863-4212

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NPI Details

DR. Dileep R Kondur, DMD, MS is a periodontics dentist in Augusta, GA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Dileep R Kondur, DMD, MS NPI is 1477059145. 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:

231 DAVIS RD
AUGUSTA, GA
ZIP 30907-407
Phone: (706) 863-4212
Fax: (706) 863-0087

The NPI 1477059145 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 4/2/2018 and was last updated on 12/3/2024.

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	122300000X	Dentist		DRPM2050	FLORIDA	No
2	390200000X	Student in an Organized Health Care Education/Training Program		DN015814	GEORGIA	No
3	390200000X	Student in an Organized Health Care Education/Training Program				No
4	1223P0300X	Dentist	Periodontics	DN015814	GEORGIA	Yes

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: 11/21/2025

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