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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GEETA GYANESHWARI MANDAVILLI

Active Sole Proprietor

GEETA GYANESHWARI MANDAVILLI is a General Dentistry healthcare provider located in LONGVIEW, Texas. NPI 1811511470 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · LONGVIEW, TX

Registration Details

NPI Number
1811511470
Provider Type
Individual
Gender
Female
NPI Issued
May 29, 2020 (6.222517344985 yrs)
Last Updated
Nov 7, 2021
Licenses
36840 (TX)
7054-PR (LA)
Sole Proprietor
Yes

Practice Information

Address
3080 N EASTMAN RD
LONGVIEW, TX, 756055174
Browse TX providers · Browse ZIP 75605
Phone
9036860086
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in LONGVIEW, TX

Name Credential NPI
DR. KENNETH L STILWELL D.D.S. 1336142843
DR. KRISTA SMITH DARR DDS 1831191188
DR. JEFFREY TAYLOR SHELTON D.D.S. 1831193200
DR. DONALD GATES ONEAL DDS 1164498028
DR. BARRY CLINTON BRUYERE DDS 1649247891
DR. MARC J MEADOWS DDS 1972550630
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.