Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SIRISHA MANDADI, DDS
Active Sole ProprietorDR. SIRISHA MANDADI, DDS is a Pediatric Dentistry healthcare provider located in CREST HILL, Illinois. NPI 1215209366 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CREST HILL, IL
Registration Details
- NPI Number
- 1215209366
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 6, 2012 (14.530508957605 yrs)
- Last Updated
- Sep 11, 2019
- Licenses
-
1001977 (WI)021002794 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2241 THEODORE STCREST HILL, IL, 604031881Browse IL providers · Browse ZIP 60403
- Phone
- 8157411700
- Fax
- 8157418511
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.