Dr Soumya Immella, DMD is a
Dentist - Pediatric Dentistry based in Breinigsville, Pennsylvania. Dr Soumya Immella is licensed to practice in Pennsylvania (license number DS042399) and her current practice location is
1536 Crossland Rd, Breinigsville, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(484) 934-2305.
NPI number for Dr Soumya Immella is 1306480298 and her current mailing address is 750 N Krocks Rd Ste 206, Allentown, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306480298.
Healthcare Provider's Profile
Full Name | Dr Soumya Immella |
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Gender | Female |
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Speciality | Dentist - Pediatric Dentistry |
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Location | 1536 Crossland Rd, Breinigsville, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1306480298
- Provider Enumeration Date: 11/04/2019
- Last Update Date: 03/01/2024
Medical Identifiers
Medical identifiers for Dr Soumya Immella such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306480298 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0221X | Dentist - Pediatric Dentistry | DS042399 (Pennsylvania) | 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 Soumya Immella 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 Address | Practice Location Address |
Dr Soumya Immella, DMD 750 N Krocks Rd Ste 206, Allentown, PA 18106-9079 Ph: (610) 530-7785 | Dr Soumya Immella, DMD 1536 Crossland Rd, Breinigsville, PA 18031-1471 Ph: (484) 934-2305 |
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