Provider Demographics
NPI:1730436494
Name:UPPALAPATI, SINDHURA (DDS)
Entity type:Individual
Prefix:DR
First Name:SINDHURA
Middle Name:
Last Name:UPPALAPATI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11622 VERNA DR
Mailing Address - Street 2:
Mailing Address - City:OAKTON
Mailing Address - State:VA
Mailing Address - Zip Code:22124-2045
Mailing Address - Country:US
Mailing Address - Phone:703-910-4805
Mailing Address - Fax:703-910-7436
Practice Address - Street 1:14904 JEFFERSON DAVIS HWY STE 304
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-3908
Practice Address - Country:US
Practice Address - Phone:703-910-4805
Practice Address - Fax:703-910-7436
Is Sole Proprietor?:No
Enumeration Date:2012-08-12
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15186122300000X
VA04014137271223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist