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DR. GEETHA J DAMODARAN D.D.S.
NPI 1275858078
Dentist in White Bear Lake, MN

Active since April 05, 2010
4641 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110(651) 429-0404(651) 429-0742 Get Directions Write a Review

NPPES record last updated: August 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Geetha J Damodaran D.d.s. NPPES

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

DR. GEETHA J DAMODARAN D.D.S. (NPI 1275858078) is an individual dentist in White Bear Lake, Minnesota, licensed in Minnesota (D10949) and active in the NPI registry since April 2010.

NPPES Registry Identity

NPI1275858078
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. GEETHA J DAMODARANCredential: D.D.S.
Location Address4641 WHITE BEAR PKWYWhite Bear Lake, MN 55110-3300
Mailing Address4641 White Bear PkwyWhite Bear Lake, MN 55110-3300 · (651) 429-0404 · Fax (651) 429-0742
Phone(651) 429-0404
Fax(651) 429-0742
Sole ProprietorNo
Enumeration DateApril 5, 2010
Last NPPES UpdateAugust 9, 2020
NPPES CertifiedAugust 9, 2020
✔ NPI 1275858078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MN · D10949
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4641 WHITE BEAR PKWY, White Bear Lake, MN 55110
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Other Providers at the Same Location NPPES

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

BIRCH LAKE DENTAL
Clinic/Center (Dental)
4641 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 429-0404

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 Geetha Damodaran's NPI number?

The NPI number for Geetha Damodaran is 1275858078. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Geetha Damodaran located?

Geetha Damodaran practices at 4641 White Bear Pkwy, White Bear Lake, MN 55110. The listed phone number is (651) 429-0404.

What is Geetha Damodaran's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Geetha Damodaran was last updated on August 9, 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.