Prameelarani Betanapalli, DMD
Individual provider Active NPI General Practice Dentistry · Oswego, IL
NPI 1124900766 · NPPES record last updated Jul 24, 2025
Key facts
- NPI
- 1124900766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 19036337 (IL)
- Practice address
- 2484 US Highway 30 # B101
Oswego, IL 60543-8974 - Phone
- (630) 801-1999
- NPI assigned
- Jul 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19036337 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rainadentalcare | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19036337 | IL | Yes |
Addresses
Primary practice location
2484 US Highway 30 # B101
Oswego, IL 60543-8974
Mailing address
23419 W Pearson Dr
Plainfield, IL 60585-9609
Phone (630) 730-9037
Other practice location 1
2323 Naper Vl Rd Ste 110
Naperville, IL 60563-3543
Phone (630) 381-4021
Other providers in Oswego, IL
- Jordan Nicole Beck
- Kristin Beintum
- Frank Berardi
- Lisa Bertellotti
- Melissa Kay Best
- Parul Bhatt
- Javed Bhojani
- Jenna Marie Boazzo Glenn
- Sherry L Bochenek
- Margaret Elizabeth Bollinger
All providers in Oswego, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.