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Active NPI 1679704076 Individual Practitioner Female Practitioner

Dr. Manjusha Tummala , DDS

Dentist - General Practice • Watauga, TX

Professional Overview & Biography Verified Profile Summary

Dr. Manjusha Tummala, DDS is a registered healthcare professional specializing in Dentist - General Practice in Watauga, TX. Practice services are available at 6500 DENTON HWY STE B1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6500 Denton Hwy Ste B1

Watauga, TX 761482526

Telephone 8174284005
Associated Practice Facility / Clinic
🏢 Guru Datta Pllc Facility NPI 1295514651

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Watauga, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Watauga, TX (10570 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: 2023-10-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 24902

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

4032 Mcdermott Rd Ste 200

Plano, TX 750247738

Phone: 2147305917

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1023222767

Doctor of Dental Surgery

NPI 1578735353

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 15, 2023

Registered at 6500 DENTON HWY STE B1, WATAUGA, TX 761482526 (Tel: 8174284005)

📍
Updated Practice Location September 25, 2023

Registered at 4032 MCDERMOTT RD STE 200, PLANO, TX 750247738 (Tel: 2147305917)

📍
Updated Business Mailing Address September 25, 2023

Registered at 654 BANBURY RD, COPPELL, TX 750192063 (Tel: 8483916885)

NPI Profile Active August 03, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location August 03, 2009

Registered at 825 E RUNDBERG LN, A1, AUSTIN, TX 787534808 (Tel: 5128370200)

📍
Updated Business Mailing Address August 03, 2009

Registered at 12820 W PARMER LN APT 7201, CEDAR PARK, TX 786137532 (Tel: 8483916885)

👤
Provider Name / Credentials Updated August 03, 2009

Recorded as MANJUSHA TUMMALA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2009

Dentist (License #24902 in TX)

🟢
Initial NPI Registration & Enumeration August 03, 2009

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: 1679704076
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2009
Last Update: October 15, 2023
Sole Proprietor: Yes

Mailing Address

654 Banbury Rd

Coppell, TX 750192063

Phone: 8483916885

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.