Provider Demographics
NPI:1427420843
Name:YERRA, NEELIMA KRISHNA (DDS)
Entity type:Individual
Prefix:DR
First Name:NEELIMA
Middle Name:KRISHNA
Last Name:YERRA
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 1:7739 DAGNY WAY
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-8108
Mailing Address - Country:US
Mailing Address - Phone:408-802-0656
Mailing Address - Fax:
Practice Address - Street 1:8063 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-2966
Practice Address - Country:US
Practice Address - Phone:410-995-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-25
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD16161122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist