PUNYA SRIKANTH DMD
NPI 1104439744
Dentist - General Practice in Manitowoc, WI

Active since August 24, 2020
4125 HARBOR TOWN LN, MANITOWOC, WI 54220(920) 686-3800 Get Directions Write a Review

NPPES record last updated: August 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Punya Srikanth Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PUNYA SRIKANTH DMD (NPI 1104439744) is an individual general practice provider in Manitowoc, Wisconsin, licensed in Wisconsin (1002417-15) and active in the NPI registry since August 2020. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1104439744
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NamePUNYA SRIKANTHCredential: DMD
Location Address4125 HARBOR TOWN LNManitowoc, WI 54220-5855
Mailing Address2388 S Oneida StAshwaubenon, WI 54304-5244 · (920) 785-5130
Sole ProprietorNo
Enumeration DateAugust 24, 2020
NPPES CertifiedAugust 24, 2020
NPI 1104439744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WI · 1002417-15
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
4125 HARBOR TOWN LN, Manitowoc, WI 54220

Secondary Practice Locations 3

Location 12388 S Oneida StAshwaubenon, WI 54304-5244 · Phone (920) 785-5130
Location 2W3216 County Road Kk Ste 107Appleton, WI 54915-9432 · Phone (920) 843-6004
Location 33300 W College AveAppleton, WI 54914-3920 · Phone (920) 830-4100

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
4125 HARBOR TOWN LN
MANITOWOC, WI 54220
Dentist
4125 HARBOR TOWN LN
MANITOWOC, WI 54220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Punya Srikanth's NPI number?

The NPI number for Punya Srikanth is 1104439744. It was assigned to this individual provider in the NPPES registry on August 24, 2020.

Where is Punya Srikanth located?

Punya Srikanth practices at 4125 Harbor Town Ln, Manitowoc, WI 54220. The listed phone number is (920) 686-3800.

What is Punya Srikanth's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Punya Srikanth accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 1 other insurer list Punya Srikanth as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Punya Srikanth was last updated on August 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.