Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GANGADHAR IMMANNI, DDS
ActiveDR. GANGADHAR IMMANNI, DDS is a General Dentistry healthcare provider located in PORTALES, New Mexico. NPI 1912285032 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · PORTALES, NM
Registration Details
- NPI Number
- 1912285032
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 22, 2011 (15.062905052868 yrs)
- Last Updated
- Nov 13, 2012
- License
-
DD3547 (NM)
Practice Information
- Address
-
1515 WEST FIRPORTALES, NM, 88130Browse NM providers · Browse ZIP 88130
- Phone
- 5753566695
- Fax
- 5753565948
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in PORTALES, NM
| Name | Credential | NPI |
|---|---|---|
| DR. PETER L THOMPSON | D.D.S. | 1255444295 |
| AARON MARK STANDING | DMD | 1427570357 |
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.