Provider Demographics
NPI:1306566104
Name:ADITI PAMPANIYA DDS INC
Entity type:Organization
Organization Name:ADITI PAMPANIYA DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ADITI
Authorized Official - Middle Name:
Authorized Official - Last Name:PAMPANIYA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:714-209-3971
Mailing Address - Street 1:4553 SHERINGTON CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-3504
Mailing Address - Country:US
Mailing Address - Phone:714-209-3971
Mailing Address - Fax:
Practice Address - Street 1:14523 PIONEER BLVD
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-4876
Practice Address - Country:US
Practice Address - Phone:562-204-6366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADDSMILES DENTAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty