LATHA VOLADRI D.D.S,L.LC


Address: 641 Main Ave, Passaic, NJ 07055-4919
Phone: 9738150515

LATHA VOLADRI D.D.S,L.LC (NPI# 1831436328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831436328
Entity Type Organization
Organization Name LATHA VOLADRI D.D.S,L.LC
Practice Address 641 Main Ave
Passaic
NJ 07055-4919
Practice Telephone 9738150515
Practice Fax Number 9739160280
Mailing Telephone 9738150515
Mailing Fax Number 9739160280
Enumeration Date 2013-01-03
Last Update Date 2013-01-03
Authorized Official Name DR. LATHA VOLADRI (DENTIST)
Authorized Official Telephone 9738150515
Authorized Official Credential D.D.S
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
22DI02295900 NJ Ambulatory Health Care Facilities

Office Location

Street Address 641 MAIN AVE
City PASSAIC
State NJ
Zip Code 07055-4919

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Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780990820 Children's Dentistry of Passaic LLC Clinic/Center 124 Gregory Ave, Suite 303, Passaic, NJ 07055-4856 2010-08-26
1447402359 Chestnut Plaza Dental Center Pa Clinic/Center 831 Main Ave, Passaic, NJ 07055-8400 2008-10-22

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Competitor

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City PASSAIC
Zip Code 07055

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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