Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104053487 Individual Practitioner Female Practitioner

Dr. Mahathi Nanduri , DDS

Dentist - General Practice • Herndon, VA

Professional Overview & Biography Verified Profile Summary

Dr. Mahathi Nanduri, DDS is a registered healthcare professional specializing in Dentist - General Practice in Herndon, VA. Practice services are available at 12832 WILLIAMS MEADOW CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12832 Williams Meadow Ct

Herndon, VA 201714759

Telephone 5712968047

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Herndon, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
41 Specialists

Practicing in Herndon, VA (3535 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License VA 0401411896

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 CA 55947

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 03, 2011

NPI status registered as active in NPPES database

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Updated Practice Location March 03, 2011

Registered at 12832 WILLIAMS MEADOW CT, HERNDON, VA 201714759 (Tel: 5712968047)

📍
Updated Business Mailing Address March 03, 2011

Registered at 12832 WILLIAMS MEADOW CT, HERNDON, VA 201712957 (Tel: 5712968047)

👤
Provider Name / Credentials Updated March 03, 2011

Recorded as MAHATHI NANDURI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 03, 2011

Dentist (License #0401411896 in VA)

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Initial NPI Registration & Enumeration June 15, 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: 1104053487
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2009
Last Update: March 03, 2011
Sole Proprietor: No

Mailing Address

12832 Williams Meadow Ct

Herndon, VA 201712957

Phone: 5712968047

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.