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PADMAJA K.MUTYALADDSINC NPI 1740670066


NPI Information

NPI: 1740670066
Provider Name: PADMAJA K.MUTYALA,DDS,INC

Doing Business As: GATEWAY FAMILY DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
13029 STOCKDALE HWY
SUITE 100
BAKERSFIELD, CA
ZIP 93314
Phone: (661) 829-7905
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PADMAJA K.MUTYALA,DDS,INC is a general practice dentist in Bakersfield, CA. 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. PADMAJA K.MUTYALA,DDS,INC NPI is 1740670066. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gateway Family Dentistry.

The provider's business location address is:

13029 STOCKDALE HWY
SUITE 100
BAKERSFIELD, CA
ZIP 93314-589
Phone: (661) 829-7905
Fax: (661) 829-7907

The provider's authorized official is Padmaja K Mutyala .
The authorized official title is Dentist/owner and has the following contact phone number (661) 829-7905.

The enumeration date for this NPI number is 1/24/2015 and was last updated on 1/26/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice54081CALIFORNIAYes

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: 11/14/2023

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