Provider Demographics
NPI:1497507875
Name:RAMAPPA, ANIL (DMD)
Entity type:Individual
Prefix:
First Name:ANIL
Middle Name:
Last Name:RAMAPPA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1569 LEXANN AVE STE 214
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1795
Mailing Address - Country:US
Mailing Address - Phone:408-693-0809
Mailing Address - Fax:
Practice Address - Street 1:1569 LEXANN AVE STE 214
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-1795
Practice Address - Country:US
Practice Address - Phone:408-693-0809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-01
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1122731223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice