Sai Preeti Gudla, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN27030 Issued in FL

Practice address

1025 S Volusia Ave
Orange City, FL 32763-7022

Phone

(386) 775-9933

Fax

(386) 775-9604

NPI assigned

Jun 15, 2022

Sex

Female

Sole proprietor

No

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1932839693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637022",
            "telephone_number": "386-775-9933",
            "fax_number": "386-775-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S VOLUSIA AVE",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637022",
            "telephone_number": "386-775-9933",
            "fax_number": "386-775-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUDLA",
        "first_name": "SAI",
        "middle_name": "PREETI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN27030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Gouchenouer, FNP
• Gary Robert Graham, M.D.
• Grandmother's Hands Family Health
• Shelby Hines Gray, DPT
• Morgan Green, PA-C
• Lorensofia Guerrero
• Vinicius Luiz Guimaraes Sebastiao
• Alakh Gulati
• Gulfcoast Spine Institute, LLC (BioSpine Institute)
• Vishal Gupta, MD

• General Practice Dentistry in Orange City, FL
• Providers in Orange City, 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 Jun 15, 2022; 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.