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General NPI Number Information
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NPI Number | 1861705907
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Entity Type | Individual
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Provider Name | SMITHA SANIGARAPU D.D.S
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Gender | Female
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Dates
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Enumeration Date | 07/19/2010
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 1401 E 8TH ST
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City | ODESSA
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State | TX
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Zip | 79761-4802
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Country | US
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Telephone | 432-332-8550
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Fax |
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Provider Business Mailing Address
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Address Line | 1922 GREENHOUSE RD STE 475
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City | HOUSTON
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State | TX
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Zip | 77084-8050
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Country | US
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Telephone | 313-244-9054
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 25805
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 25805
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License Number State | TX
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