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Active NPI 1649893470 Individual Practitioner Male Practitioner

Dr. Surendra Reddy Mandapati , DDS

Dentist - General Practice • Northampton, MA

Professional Overview & Biography Verified Profile Summary

Dr. Surendra Reddy Mandapati, DDS is a registered healthcare professional specializing in Dentist - General Practice in Northampton, MA. Practice services are available at 12 CENTER ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12 Center St

Northampton, MA 010603005

Telephone 4135855880
Associated Practice Facility / Clinic
🏢 Vincent J Mariano Dmd & Assoc Facility NPI 1518102730

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Northampton, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
19 Specialists

Practicing in Northampton, MA (3722 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-26
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.032588

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1417360934

Doctor of Dental Medicine

Dr. Narender Dudee , DDS

Dentist - General Practice

NPI 1730428707

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 26, 2021

Registered at 12 CENTER ST, NORTHAMPTON, MA 010603005 (Tel: 4135855880)

📍
Updated Business Mailing Address July 26, 2021

Registered at 12 CENTER ST, NORTHAMPTON, MA 010603005 (Tel: 4135855880)

NPI Profile Active June 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 08, 2020

Registered at 3510 N UNIVERSITY ST STE A, PEORIA, IL 616041346 (Tel: 2032154687)

📍
Updated Business Mailing Address June 08, 2020

Registered at 3510 N UNIVERSITY ST STE A, PEORIA, IL 616041346 (Tel: 8177732088)

👤
Provider Name / Credentials Updated June 08, 2020

Recorded as SURENDRA REDDY MANDAPATI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 08, 2020

Dentist (License #019.032588 in IL)

🟢
Initial NPI Registration & Enumeration May 27, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1649893470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 27, 2020
Last Update: July 26, 2021
Sole Proprietor: No

Mailing Address

12 Center St

Northampton, MA 010603005

Phone: 4135855880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.