Healthcare Provider Details

I. General information

NPI: 1275377574
Provider Name (Legal Business Name): SNEHA TAMMINEEDI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6607 W CANAL DR STE B
KENNEWICK WA
99336-5077
US

IV. Provider business mailing address

725 N CENTER PKWY APT Y204
KENNEWICK WA
99336-8235
US

V. Phone/Fax

Practice location:
  • Phone: 509-783-7070
  • Fax:
Mailing address:
  • Phone: 314-528-1080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDENT.DE.70153034
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: