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Active NPI 1114059094 Individual Practitioner Male Practitioner

Dr. Durga Talla , DDS

Dentist - General Practice • Levittown, PA

Professional Overview & Biography Verified Profile Summary

Dr. Durga Talla, DDS is a registered healthcare professional specializing in Dentist - General Practice in Levittown, PA. Practice services are available at 63 LAKESIDE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

63 Lakeside Dr

Levittown, PA 190543901

Telephone 2159430213
Fax 2159430998
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Levittown, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Levittown, PA (4936 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: 2025-07-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License PA DS037590

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 9534

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02558309 (NY)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 10, 2025

Registered at 63 LAKESIDE DR, LEVITTOWN, PA 190543901 (Tel: 2159430213)

NPI Profile Active February 11, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location February 11, 2015

Registered at 23204 CORNERSTONE DR, YARDLEY, PA 190677902 (Tel: 2157522299)

📍
Updated Business Mailing Address February 11, 2015

Registered at 63 LAKESIDE DR, LEVITTOWN, PA 190543901 (Tel: 2159430213)

👤
Provider Name / Credentials Updated February 11, 2015

Recorded as DURGA TALLA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2015

Dentist (License #DS037590 in PA)

🟢
Initial NPI Registration & Enumeration March 09, 2007

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: 1114059094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2007
Last Update: July 10, 2025
Sole Proprietor: No

Mailing Address

63 Lakeside Dr

Levittown, PA 190543901

Phone: 2159430213

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.