DR. DHEERAJ PAMIDIMUKKALA DMD
NPI 1447355276
Dentist - General Practice in Portland, ME

Active since September 14, 2006
315 AUBURN ST, PORTLAND, ME 04103(207) 797-5000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dheeraj Pamidimukkala Dmd NPPES

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

DR. DHEERAJ PAMIDIMUKKALA DMD (NPI 1447355276) is an individual general practice provider in Portland, Maine, licensed in Maine (3824) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1447355276
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DHEERAJ PAMIDIMUKKALACredential: DMD
Location Address315 AUBURN STPortland, ME 04103-2179
Mailing Address100 Clearwater Dr, #75Falmouth, ME 04105-1317 · (617) 642-9775
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1447355276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in ME · 3824
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.
315 AUBURN ST, Portland, ME 04103

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Dentist
315 AUBURN ST
PORTLAND, ME 04103
Clinic/Center (Dental)
315 AUBURN ST
PORTLAND, ME 04103
Dentist
315 AUBURN ST
PORTLAND, ME 04103

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 Dheeraj Pamidimukkala's NPI number?

The NPI number for Dheeraj Pamidimukkala is 1447355276. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Dheeraj Pamidimukkala located?

Dheeraj Pamidimukkala practices at 315 Auburn St, Portland, ME 04103. The listed phone number is (207) 797-5000.

What is Dheeraj Pamidimukkala's specialty?

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

What insurance does Dheeraj Pamidimukkala accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Dheeraj Pamidimukkala 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 Dheeraj Pamidimukkala was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.