MEDICARE: SRIDEVI ALAPATI DDS PLLC

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	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1346951092
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SRIDEVI ALAPATI DDS PLLC

Provider Business Mailing Address
First Line	:	3939 W GREEN OAKS BLVD STE 102
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-2792
Country	:	US
Telephone Number	:	817-446-5242
Fax Number	:

Provider Business Practice Location Address
First Line	:	3939 W GREEN OAKS BLVD STE 102
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76016-2792
Country	:	US
Telephone Number	:	817-446-5242
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SRIDEVI ALAPATI
Credential	:
Telephone Number	:	817-446-5242

Provider Enumeration Date	:	12/13/2022
Last Update Date	:	12/13/2022

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