Provider Demographics
NPI:1528331113
Name:ARJARAPU, APURVA V (DDS)
Entity type:Individual
Prefix:MRS
First Name:APURVA
Middle Name:V
Last Name:ARJARAPU
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 1:1821 S LAKELINE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-4674
Mailing Address - Country:US
Mailing Address - Phone:512-852-8528
Mailing Address - Fax:512-906-2988
Practice Address - Street 1:1821 S LAKELINE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-4674
Practice Address - Country:US
Practice Address - Phone:512-852-8528
Practice Address - Fax:512-906-2988
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-14
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX297101223G0001X
NJDI 024924001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice