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DR. SOUMYA IMMELLA DMD
NPI 1306480298
Dentist - Pediatric Dentistry in Breinigsville, PA

Active since November 04, 2019
1536 CROSSLAND RD, BREINIGSVILLE, PA 18031(484) 934-2305(610) 435-7606 Get Directions Write a Review

NPPES record last updated: March 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 21, 2020, Nov 4, 2019 (2 updates tracked since 2019).

About Dr. Soumya Immella Dmd NPPES

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

DR. SOUMYA IMMELLA DMD (NPI 1306480298) is an individual pediatric dentistry provider in Breinigsville, Pennsylvania, licensed in Pennsylvania (DS042399) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1306480298
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. SOUMYA IMMELLACredential: DMD
Location Address1536 CROSSLAND RDBreinigsville, PA 18031-1471
Mailing Address750 N Krocks Rd Ste 206Allentown, PA 18106-9079 · (610) 530-7785 · Fax (610) 435-7606
Phone(484) 934-2305
Fax(610) 435-7606
Sole ProprietorYes
Enumeration DateNovember 4, 2019
Last NPPES UpdateMarch 1, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 29, 2024
✔ NPI 1306480298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in PA · DS042399
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1536 CROSSLAND RD, Breinigsville, PA 18031
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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 Soumya Immella's NPI number?

The NPI number for Soumya Immella is 1306480298. It was assigned to this individual provider in the NPPES registry on November 4, 2019.

Where is Soumya Immella located?

Soumya Immella practices at 1536 Crossland Rd, Breinigsville, PA 18031. The listed phone number is (484) 934-2305.

What is Soumya Immella's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Soumya Immella accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Soumya Immella 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 Soumya Immella was last updated on March 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.