DR. SIRISHA MANDADI DDS NPI 1215209366

NPI Information

NPI: 1215209366
Provider Name: DR. SIRISHA MANDADI, DDS
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
2241 THEODORE ST
CREST HILL, IL
ZIP 60403
Phone: (815) 741-1700
Get Directions

DR. Sirisha Mandadi, DDS is a prosthodontics dentist in Crest Hill, IL. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Sirisha Mandadi, DDS NPI is 1215209366. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2241 THEODORE ST
CREST HILL, IL
ZIP 60403-881
Phone: (815) 741-1700
Fax: (815) 741-8511

The enumeration date for this NPI number is 2/6/2012 and was last updated on 9/11/2019.

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	1223P0700X	Dentist	Prosthodontics	1001977	WISCONSIN	No
2	1223P0700X	Dentist	Prosthodontics	021002794	ILLINOIS	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: 5/5/2024

NPI Synchronization or Removal

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