Maddali, Anita R
Maddali, Anita R is an individual health care provider with primary practice located at 47 Burnside Ave , East Hartford CT 06108-3405. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Maddali, Anita R can be contacted via phone (860) 899-1360.Contact Information
Primary practice address
47 Burnside Ave
East Hartford CT 06108-3405
Phone: (860) 899-1360
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 21759MA | Massachusetts |
| Dental Providers / General Practice | 1223G0001X | 9481 | Connecticut |
Profile Details
| NPI number | 1568500080 |
|---|---|
| LBN Legal business name | Maddali, Anita R |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jan 3rd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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