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Active NPI 1720596778 Individual Practitioner Female Practitioner

Dr. Reena Kandyala , DDS

Dentist - General Practice • Springfield, MA

Professional Overview & Biography Verified Profile Summary

Dr. Reena Kandyala, DDS is a registered healthcare professional specializing in Dentist - General Practice in Springfield, MA. Practice services are available at 1070 SAINT JAMES AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1070 Saint James Ave

Springfield, MA 011041453

Telephone 4132786904
Associated Practice Facility / Clinic
🏢 Hathaway Road Dental, Pc Facility NPI 1538246616

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, MA

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

Practicing in Springfield, 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: 2021-12-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN1859260

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CO DEN.00203424

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CT 12679

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.

Secondary Practice Locations

1131 Tolland Tpke Ste J

Manchester, CT 060421679

Phone: 8328415878

2223 Prairie Center Pkwy Unit C

Brighton, CO 806017008

Phone: 3036543430

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Laurie Jayne Toledo , DMD

Dentist - General Practice

NPI 1174388722

Doctor of Dental Medicine

Kaushik Dev Karanam

Dentist - General Practice

NPI 1700589934

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location December 08, 2021

Registered at 1070 SAINT JAMES AVE, SPRINGFIELD, MA 011041453 (Tel: 4132786904)

📍
Updated Business Mailing Address December 08, 2021

Registered at 11-4 ARTHUR DR, SOUTH WINDSOR, CT 060743673 (Tel: 8328415878)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2021

Dentist (License #DEN.00203424 in CO)

📍
Updated Practice Location January 23, 2020

Registered at 1131 TOLLAND TPKE STE J, MANCHESTER, CT 060421679 (Tel: 8328415878)

📍
Updated Business Mailing Address January 23, 2020

Registered at 1131 TOLLAND TPKE STE J, MANCHESTER, CT 060421679 (Tel: 8328415878)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2020

Dentist (License #12679 in CT)

NPI Profile Active January 11, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2018

Registered at 2223 PRAIRIE CENTER PKWY UNIT C, BRIGHTON, CO 806017008 (Tel: 3036543430)

📍
Updated Business Mailing Address January 11, 2018

Registered at 2650 ROSLYN ST UNIT 3, DENVER, CO 802382311 (Tel: 8328415878)

👤
Provider Name / Credentials Updated January 11, 2018

Recorded as REENA KANDYALA, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2018

Dentist (License #DEN.00203424 in CO)

🟢
Initial NPI Registration & Enumeration January 11, 2018

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: 1720596778
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2018
Last Update: December 08, 2021
Sole Proprietor: No

Mailing Address

11-4 Arthur Dr

South Windsor, CT 060743673

Phone: 8328415878

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.