Healthcare Provider Details

I. General information

NPI: 1235057258
Provider Name (Legal Business Name): ANUPAMA VISWANATHAN DENTAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 JERUSALEM AVE STE 103
NORTH BELLMORE NY
11710-1857
US

IV. Provider business mailing address

2415 JERUSALEM AVE STE 103
NORTH BELLMORE NY
11710-1857
US

V. Phone/Fax

Practice location:
  • Phone: 818-930-0145
  • Fax:
Mailing address:
  • Phone: 818-930-0145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: DR. ANUPAMA VISWANATHAN
Title or Position: OWNER/ MANAGING MEMBER
Credential: DDS, MDS
Phone: 818-930-0145