MEDICARE: DR DASARI AND ASSOCIATES PLLC

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

General Provider Information

NPI Number	:	1902769011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR DASARI AND ASSOCIATES PLLC

Provider Business Mailing Address
First Line	:	120 SOUTHERLAND SHIRE LN
Second Line	:
City	:	HOLLY SPRINGS
State	:	NC
Zip	:	27540-4958
Country	:	US
Telephone Number	:	862-452-0916
Fax Number	:

Provider Business Practice Location Address
First Line	:	3608 UNIVERSITY DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-6260
Country	:	US
Telephone Number	:	201-852-2435
Fax Number	:

Authorized Official
Title or Position	:	DENTIST/OWNER
Name	:	DR. BHARGAVI DASARI
Credential	:	DMD
Telephone Number	:	862-452-0916

Provider Enumeration Date	:	12/05/2025
Last Update Date	:	12/05/2025

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