Organization Active NPI

Priyanka Panthula, DDS, PLLC

  • General Practice Dentistry
  • Fuquay Varina, NC
National Provider Identifier
1659248201
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PRIYANKA PANTHULA, DDS, PLLC
Practice address
606 Stellata Dr
Fuquay Varina, NC 27526-1905
Phone
(919) 557-9970
NPI assigned
Oct 20, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Priyanka Panthula, DDSNPI 1225574312
Title
Owner Dentist
Phone
(812) 241-0837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

606 Stellata Dr
Fuquay Varina, NC 27526
Phone (919) 557-9970

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

NPPES NPI Registry

Primary practice location

606 Stellata Dr
Fuquay Varina, NC 27526-1905

Mailing address

4309 Bridle Run Dr
Raleigh, NC 27606-7428

Other names 1

NPPES NPI Registry
  • United Smiles Family Dental Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2025.

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1659248201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 BRIDLE RUN DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276067428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 STELLATA DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261905",
            "telephone_number": "919-557-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIYANKA PANTHULA, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "PANTHULA",
        "authorized_official_first_name": "PRIYANKA",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "812-241-0837",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Smiles Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.