Mandala, Srinivas Reddy

Mandala, Srinivas Reddy is an sole proprietor health care provider with primary practice located at 8-5476 A Souter, Butner Rd , Fort Bragg NC 28307. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Mandala, Srinivas Reddy can be contacted via phone (910) 728-4348.

Contact Information

Primary practice address
8-5476 A Souter, Butner Rd Fort Bragg NC 28307
Phone: (910) 728-4348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 10274 Connecticut
Dental Providers / General Practice 1223G0001X DN1856419 Massachusetts
Dental Providers / General Practice 1223G0001X 10572 North Carolina

Profile Details

NPI number 1710208004
LBN Legal business name Mandala, Srinivas Reddy
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 21st, 2010
Last updated Mar 1st, 2022 - about 2 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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