National Provider Identifier Database

AMRUTHA C MANDAVA, DMD – NPI #1053370882
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

AMRUTHA C MANDAVA, DMD
1662 CENTRAL AVE
ALBANY, NY12205
Phone: 518-452-2121
Fax: 518-456-2865
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for AMRUTHA C MANDAVA

NPI Number 1053370882
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 03/21/2006
Last updated 08/24/2009 - About 17 years ago
Sole proprietor1 No
Identifiers
  • NY License #: 042469
  • NY Other: 795808 UNITED CONCORDIA
Hospital affiliation n/a

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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