| Provider / Organization | NPI | Date Certified |
|---|---|---|
| DEVISREE NEKKANTI | 1093294233 | 2022-12-05 |
Devisree Nekkanti is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1093294233. Registration indicates Devisree Nekkanti is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist: General Practice, ) (Dental, ) (Dentist General Practice, Dental Providers) (Dentist, ) Access to Dentists-General (Dental Providers, Dentist) (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
| Entity Type | Individual |
| Provider Name | Devisree Nekkanti DMD |
| Practice Office Address | 7010 W HIGHWAY 71 STE 225 AUSTIN, TX US |
| Practice Office Telephone | 7324289958 |
| Mailing Address | 16301 DONOHER DR AUSTIN, TX 787174203 US |
| Business Telephone | 7324289958 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 16301 Donoher Dr | Austin, TX 787174203 | 7324289958 |
| Code | Practice | License No State |
|---|---|---|
| 1223G0001X | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist: General Practice Dental Dentist General Practice Dental Providers Dentist | 35850
TX |
| 122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 35850
TX |
| 45859384 | OTHER | TX | DRIVERS LISCENC |
| 1093294233 | MEDICAID | TX |