| Dr Suman Kishore Kondragunta, DDS | |
|
2400 E Oltorf St # 100b, Austin, TX 78741-4563 | |
| (512) 822-7275 | |
| Not Available |
| Full Name | Dr Suman Kishore Kondragunta |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 2400 E Oltorf St # 100b, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447538400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DD3548 (New Mexico) | Secondary |
| 122300000X | Dentist | TX28527 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Suman Kishore Kondragunta, DDS 4215 Franklin Ave, Waco, TX 76710-2529 Ph: (346) 201-5656 | Dr Suman Kishore Kondragunta, DDS 2400 E Oltorf St # 100b, Austin, TX 78741-4563 Ph: (512) 822-7275 |
Dr. Valerie Mariana Santiago-doyle, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5701 W Slaughter Ln, Suite B120, Austin, TX 78749 Phone: 512-467-4722 | |
Dr. Staci R Ianiro, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2559 Western Trails Blvd, Suite 302, Austin, TX 78745 Phone: 512-439-5755 Fax: 512-439-5744 | |
Bethany Anne Petersen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4410 E Riverside Dr Ste 150, Austin, TX 78741 Phone: 855-512-7625 | |
Deana Victoria Smalls, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3432 Ribbon Reef Ln, Austin, TX 78728 Phone: 512-913-0882 | |
Dr. Hardik Jayesh Shah, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9813 N Lamar Blvd, Austin, TX 78753 Phone: 512-593-4463 | |
Dr. Gary Robert Herron Ii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6611 E Highway 290, Austin, TX 78723 Phone: 512-459-3821 | |
Dr. George Maury Blackburn, D.M.D., F.A.G.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12505 Hymeadow Dr, Suite 2d, Austin, TX 78750 Phone: 512-258-3627 Fax: 512-258-0755 |