Healthcare Provider Details

I. General information

NPI: 1023268430
Provider Name (Legal Business Name): TRISHUL VEERA ALLAREDDY B.D.S., M.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2008
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 DENTAL CIR
CHAPEL HILL NC
27599-5021
US

IV. Provider business mailing address

140 DENTAL CIR
CHAPEL HILL NC
27599-5021
US

V. Phone/Fax

Practice location:
  • Phone: 216-333-5197
  • Fax:
Mailing address:
  • Phone: 216-333-5197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number0304
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code1223X0008X
TaxonomyOral and Maxillofacial Radiology Dentistry
License Number40108
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: