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Contact Information

NAGAMANI AMBATIPUDI, DMD
483 MIDDLE TURNPIKE W
SUITE 309
MANCHESTER, CT06040
 Phone: 860-645-0111
 Fax: 860-432-4613
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for NAGAMANI AMBATIPUDI · (Female)

NPI # 1043563182
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 10/25/2012
Last updated 02/07/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 010499
  • CT License # 10499
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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