National Provider Identifier Database

REENA KANDYALA, DDS – NPI #1720596778
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

REENA KANDYALA, DDS
1070 SAINT JAMES AVE
SPRINGFIELD, MA01104-1453
Phone: 413-278-6904
Fax:
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for REENA KANDYALA

NPI Number 1720596778
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 01/11/2018
Last updated 12/08/2021 - About 4 years ago
Sole proprietor1 No
Identifiers
  • CO License #: DEN.00203424
  • CT License #: 12679
  • MA License #: DN1859260
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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