Provider Demographics
NPI:1538447610
Name:UMMAREDDY, SATEESH KUMAR (DDS)
Entity type:Individual
Prefix:DR
First Name:SATEESH KUMAR
Middle Name:
Last Name:UMMAREDDY
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 COLE CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5958
Mailing Address - Country:US
Mailing Address - Phone:601-832-6320
Mailing Address - Fax:
Practice Address - Street 1:2625 COLE CASTLE DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75056-5958
Practice Address - Country:US
Practice Address - Phone:601-832-6320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-24
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX27258122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist