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NPI Code Detail

MEDICARE: SAUMYA VULLAGANTI

MEDICARE:   SAUMYA  VULLAGANTI
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
11223G0001XGeneral Practice Dentistry7330OK
21223G0001XGeneral Practice DentistryDS043621PA

General Provider Information

NPI Number : 1891312211
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAUMYA VULLAGANTI
Provider Business Mailing Address
First Line : 8300 E 123RD ST S # C-311
Second Line :
City : BIXBY
State : OK
Zip : 74008-3347
Country : US
Telephone Number : 609-227-8984
Fax Number :
Provider Business Practice Location Address
First Line : 2145 S SHERIDAN RD
Second Line :
City : TULSA
State : OK
Zip : 74129-1001
Country : US
Telephone Number : 918-948-6965
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2020
Last Update Date : 06/15/2026

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Directions to “ SAUMYA VULLAGANTI ” Practice Location

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