| Krothapalli Dental Group Powell Llc | |
|
226 W Olentangy St Powell OH 43065-8433 | |
| (614) 764-8600 | |
| Not Available |
| Full Name | Krothapalli Dental Group Powell Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 226 W Olentangy St, Powell, Ohio |
| Authorized Official Name and Position | Nanarao Krothapalli (DENTIST) |
| Authorized Official Contact | 6172231652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krothapalli Dental Group Powell Llc 226 W Olentangy St Powell OH 43065-8433 Ph: () - | Krothapalli Dental Group Powell Llc 226 W Olentangy St Powell OH 43065-8433 Ph: (614) 764-8600 |
| NPI Number | 1114434776 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 04/17/2023 |
| Medicare PECOS PAC ID | 4587018478 |
|---|---|
| Medicare Enrollment ID | O20230926003693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114434776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Nanarao Krothapalli |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972666584 PECOS PAC ID: 5395100861 Enrollment ID: I20230926003849 |
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