Healthcare Provider Details
I. General information
NPI: 1477637577
Provider Name (Legal Business Name): APARNA SADINENI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/25/2006
Last Update Date: 06/29/2020
Certification Date: 06/29/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
572 METRO PL N
DUBLIN OH
43017-5317
US
IV. Provider business mailing address
572 METRO PL N
DUBLIN OH
43017-5317
US
V. Phone/Fax
- Phone: 614-766-5600
- Fax: 614-766-2600
- Phone: 614-766-5600
- Fax: 614-766-2600
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | 30022280 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 30-022280 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: