Healthcare Provider Details

I. General information

NPI: 1275218463
Provider Name (Legal Business Name): SRINITHA SINGANAMALA BDS,MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2023
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7660 S MCCLINTOCK DR
TEMPE AZ
85284-1632
US

IV. Provider business mailing address

7660 S MCCLINTOCK DR
TEMPE AZ
85284-1632
US

V. Phone/Fax

Practice location:
  • Phone: 469-412-2053
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberD012756
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: