MEDICARE: SRIVARSHA PONNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	38367	TX

General Provider Information

NPI Number	:	1093367153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SRIVARSHA PONNA

Provider Business Mailing Address
First Line	:	14723 WHIPPOORWILL LN
Second Line	:
City	:	FRISCO
State	:	TX
Zip	:	75035-1997
Country	:	US
Telephone Number	:	917-348-8055
Fax Number	:

Provider Business Practice Location Address
First Line	:	2701 OLD SETTLERS RD
Second Line	:
City	:	FLOWER MOUND
State	:	TX
Zip	:	75022-4728
Country	:	US
Telephone Number	:	972-724-1617
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2019
Last Update Date	:	06/18/2026

Similar Medicare Providers

1629040258 — DR. DEBRA C DUFFY DDS
Practice Location Address:

2701 OLD SETTLERS RD
FLOWER MOUND, TX
75022-4728

Practice Phone: 972-724-1617
Practice Fax: 972-874-1220

1891325726 — PEDIATRIC DENTISTRY OF FLOWER MOUND
Practice Location Address:

2701 OLD SETTLERS RD
FLOWER MOUND, TX
75022-4728

Practice Phone: 972-724-1617
Practice Fax:

1306449202 — DR. CHELSEA WEHR DDS
Practice Location Address:

2701 OLD SETTLERS RD
FLOWER MOUND, TX
75022-4728

Practice Phone: 972-724-1617
Practice Fax:

1417790551 — WEHR PEDIATRIC DENTISTRY, PLLC
Practice Location Address:

2701 OLD SETTLERS RD
FLOWER MOUND, TX
75022-4728

Practice Phone: 972-724-1617
Practice Fax:

1790775427 — STEPHEN D MENDELSON MD
Practice Location Address:

35735 MOUND RD STE 100
STERLING HEIGHTS, MI
48310-4728

Practice Phone: 586-261-1960
Practice Fax:

1902837677 — MS. PEARL DUA P.A.
Practice Location Address:

35735 MOUND RD STE 100
STERLING HEIGHTS, MI
48310-4728

Practice Phone: 586-261-1960
Practice Fax: 586-261-1961

Directions to “ SRIVARSHA PONNA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.