Priyanka Reddy Manda, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30975 Issued in FL

Practice address

Nova Southeastern University College of Dental Medicine
3050 South University Dr.
Davie, FL 33314

Phone

(954) 678-2273

NPI assigned

Mar 27, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1497694046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3384 BAILEY LN",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NOVA SOUTHEASTERN UNIVERSITY COLLEGE OF DENTAL MEDICINE",
            "address_2": "3050 SOUTH UNIVERSITY DR.",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "33314",
            "telephone_number": "954-678-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANDA",
        "first_name": "PRIYANKA",
        "middle_name": "REDDY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "30975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Mallo
• Joshua Shane Mallon, OD
• Denis Maltz Grutcki, M.D.
• Mama Coach Ashli Daley BSN RNC-Nic LLC
• Shereidy Mancheno, BCBA RHMCI
• Vikki Renee Mandell, OTR/L
• Alexis Jose Manfredy Dedos
• Laura Mangan
• Shakera Mangaroo
• Nabeel Maniar

• General Practice Dentistry in Davie, FL
• Providers in Davie, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.