Dr Praveen Kumar Mandera Govindaiah, DMD - Dentist in East Syracuse, NY

Dr Praveen Kumar Mandera Govindaiah, DMD is a Dentist - General Practice based in East Syracuse, New York. Dr Praveen Kumar Mandera Govindaiah is licensed to practice in Massachusetts (license number 22214) and his current practice location is 281 Sanders Creek Parkway, C/o Aspen Dental Management Co., Inc, East Syracuse, New York. He can be reached at his office (for appointments etc.) via phone at (800) 966-6470.

NPI number for Dr Praveen Kumar Mandera Govindaiah is 1699938290 and his current mailing address is 1 Technology Dr, Apt 4023, North Chelmsford, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699938290.

Contact Information

Dr Praveen Kumar Mandera Govindaiah, DMD
281 Sanders Creek Parkway, C/o Aspen Dental Management Co., Inc,
East Syracuse, NY 13057
(800) 966-6470
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Praveen Kumar Mandera Govindaiah
GenderMale
SpecialityDentist - General Practice
Location281 Sanders Creek Parkway, East Syracuse, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1699938290
  • Provider Enumeration Date: 07/03/2008
  • Last Update Date: 07/03/2008

Medical Identifiers

Medical identifiers for Dr Praveen Kumar Mandera Govindaiah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699938290NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 22214 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Praveen Kumar Mandera Govindaiah is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Praveen Kumar Mandera Govindaiah, DMD
1 Technology Dr, Apt 4023,
North Chelmsford, MA 01863-2408

Ph: (781) 526-1496
Dr Praveen Kumar Mandera Govindaiah, DMD
281 Sanders Creek Parkway, C/o Aspen Dental Management Co., Inc,
East Syracuse, NY 13057

Ph: (800) 966-6470

Reviews and Comments


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