Provider Demographics
NPI:1306123658
Name:ATLURI, SWATHI (DDS)
Entity type:Individual
Prefix:
First Name:SWATHI
Middle Name:
Last Name:ATLURI
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 1:3970 N COLLINS STREET,SUITE 174
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76005
Mailing Address - Country:US
Mailing Address - Phone:682-808-4666
Mailing Address - Fax:682-808-6045
Practice Address - Street 1:3970 N COLLINS STREET
Practice Address - Street 2:SUITE 174
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76005
Practice Address - Country:US
Practice Address - Phone:682-808-4666
Practice Address - Fax:682-808-6045
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31548122300000X, 1223G0001X
SCDGD.7102 GD1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist