Provider Demographics
NPI:1144936428
Name:DR ANNAPURNA BONDALAPATI PLLC
Entity type:Organization
Organization Name:DR ANNAPURNA BONDALAPATI PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:
Authorized Official - First Name:ANNAPURNA
Authorized Official - Middle Name:
Authorized Official - Last Name:BONDALAPATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-760-0139
Mailing Address - Street 1:219B SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:FRONT ROYAL
Mailing Address - State:VA
Mailing Address - Zip Code:22630-2132
Mailing Address - Country:US
Mailing Address - Phone:540-252-2159
Mailing Address - Fax:
Practice Address - Street 1:219B SOUTH ST
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-2132
Practice Address - Country:US
Practice Address - Phone:540-252-2159
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty