Sailaja S Donthineni DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

46584 Issued in CA

Legal business name

SAILAJA S DONTHINENI DDS INC

Doing business as

Art of Smile Family & Cosmetic Dentistry

Practice address

3466 Mt Diablo Blvd
C207
Lafayette, CA 94549

Phone

(925) 299-1504

Fax

(925) 299-1514

NPI assigned

Mar 9, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Suresh Donthineni, CPA

Title

Cheif Financial Officer

Phone

(415) 290-8560

Specialties & licenses 1

Addresses

Other names 1

• Art of Smile Family & Cosmetic Dentistry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174655070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3466 MT DIABLO BLVD",
            "address_2": "C207",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "94549",
            "telephone_number": "925-299-1504",
            "fax_number": "925-299-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 MT DIABLO BLVD",
            "address_2": "C207",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "94549",
            "telephone_number": "925-299-1504",
            "fax_number": "925-299-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAILAJA S DONTHINENI DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONTHINENI",
        "authorized_official_first_name": "SURESH",
        "authorized_official_title_or_position": "CHEIF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "415-290-8560",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Art of Smile Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Lafayette, CA
• Providers in Lafayette, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.