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PRAVEEN KUMAR GONUGUNTLA KAMMA DMD
NPI 1104479724
Dentist - General Practice in Killeen, TX

Active since July 23, 2019
3650 W STAN SCHLUETER LOOP STE 160, KILLEEN, TX 76549(254) 699-6000 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 17, 2020, Jul 23, 2019 (2 updates tracked since 2019).

About Praveen Kumar Gonuguntla Kamma Dmd NPPES

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

PRAVEEN KUMAR GONUGUNTLA KAMMA DMD (NPI 1104479724) is an individual general practice provider in Killeen, Texas, licensed in Illinois (019032826) and active in the NPI registry since July 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104479724
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NamePRAVEEN KUMAR GONUGUNTLA KAMMACredential: DMD
Location Address3650 W STAN SCHLUETER LOOP STE 160Killeen, TX 76549-6814
Mailing Address2300 Wolf Ranch Pkwy Apt 3213Georgetown, TX 78628-7289 · (502) 999-6322
Phone(254) 699-6000
Sole ProprietorNo
Enumeration DateJuly 23, 2019
Last NPPES UpdateNovember 17, 20202 updates tracked since enumeration
NPPES CertifiedNovember 17, 2020
✔ NPI 1104479724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IL · 019032826✔ Licensed in TX · 35519
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.
3650 W STAN SCHLUETER LOOP STE 160, Killeen, TX 76549
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1802 N 9th StSpringfield, IL 62702-6309 · Phone (888) 988-4066
Location 22608 State StEast Saint Louis, IL 62205-2325 · Phone (888) 988-4066

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES

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

SNEHA RAJGURU
Dentist (General Practice)
3650 W STAN SCHLUETER LOOP STE 160
KILLEEN, TX 76549
Bell County (254) 267-0451

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 Praveen Kumar Gonuguntla Kamma's NPI number?

The NPI number for Praveen Kumar Gonuguntla Kamma is 1104479724. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Praveen Kumar Gonuguntla Kamma located?

Praveen Kumar Gonuguntla Kamma practices at 3650 W Stan Schlueter Loop Ste 160, Killeen, TX 76549. The listed phone number is (254) 699-6000.

What is Praveen Kumar Gonuguntla Kamma's specialty?

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

What insurance does Praveen Kumar Gonuguntla Kamma accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 18 other insurers list Praveen Kumar Gonuguntla Kamma 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 Praveen Kumar Gonuguntla Kamma was last updated on November 17, 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.