Annapurna Bondalapati, BDS, MS
Individual provider Active NPI Pediatric Dentistry · Front Royal, VA
NPI 1972026649 · NPPES record last updated Nov 17, 2022
Key facts
- NPI
- 1972026649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 0401415769 (VA)
- Practice address
- 219B South St
Front Royal, VA 22630-2132 - Phone
- (540) 252-2159
- NPI assigned
- Jul 25, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180404002800 | DC | Order and Referring Only - Dentist |
7214290279 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wee Smile Dental PLLC | Current | Accepting new patients | |
| Dr Annapurna Bondalapati PLLC | Pediatric Dentistry | Current |
Accepting new patients |
Locations
219B South St
Front Royal, VA 22630
Phone (540) 252-2159
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 0401415769 | VA | Yes |
Addresses
Primary practice location
219B South St
Front Royal, VA 22630-2132
Mailing address
219B South St
Front Royal, VA 22630-2132
Phone (540) 252-2159
Other practice location 1
16708 Richmond Hwy Ste 115
Dumfries, VA 22026-2770
Phone (703) 221-4040
Other providers in Front Royal, VA
- Blanton and Lester LLC
- Blanton and Lester LLC
- Alexander Gray Blanton Sr.
- Blue Ridge Eye Specialists, P.C.
- Blue Ridge Mental Healthcare, LLC
- Tina Bordonaro
- Cole Michael Boyce
- Frederick Wright Broadhead
- Maiko Daisy Broadhead
- Teresa Elaine Burnett
All providers in Front Royal, VA · Pediatric Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.