MEDICARE: DR. GEETIKA CHIRUMAMILLA DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	10784	TN

General Provider Information

NPI Number	:	1801380621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEETIKA CHIRUMAMILLA DDS

Provider Business Mailing Address
First Line	:	1060 CROSSINGS CIR
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-2777
Country	:	US
Telephone Number	:	773-575-9355
Fax Number	:

Provider Business Practice Location Address
First Line	:	1060 CROSSINGS CIR
Second Line	:
City	:	SPRING HILL
State	:	TN
Zip	:	37174-2777
Country	:	US
Telephone Number	:	773-575-9355
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2018
Last Update Date	:	07/18/2022

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