Provider Demographics
NPI:1194998823
Name:GADEKARLA, ANITHA (DDS)
Entity type:Individual
Prefix:
First Name:ANITHA
Middle Name:
Last Name:GADEKARLA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 MIDDLETOWN BOLULEVARD ,
Mailing Address - Street 2:SUITE # 200
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047
Mailing Address - Country:US
Mailing Address - Phone:215-757-4400
Mailing Address - Fax:215-757-6405
Practice Address - Street 1:402 MIDDLETOWN BOLULEVARD ,
Practice Address - Street 2:SUITE # 200
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-757-4400
Practice Address - Fax:215-757-6405
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS 037414122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist