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DR. VIJAYA LAKSHMI PAVAN MOLLI DDS
NPI 1447921200
Dentist - Periodontics in Fort Worth, TX

Active since September 22, 2021
4021 REGGIS CT STE 313, FORT WORTH, TX 76155(817) 764-1496(817) 997-4342 Get Directions Write a Review

NPPES record last updated: February 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2022, Sep 22, 2021 (2 updates tracked since 2021).

About Dr. Vijaya Lakshmi Pavan Molli Dds NPPES

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

DR. VIJAYA LAKSHMI PAVAN MOLLI DDS (NPI 1447921200) is an individual periodontics provider in Fort Worth, Texas, licensed in Texas (37900) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1447921200
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. VIJAYA LAKSHMI PAVAN MOLLICredential: DDS
Location Address4021 REGGIS CT STE 313Fort Worth, TX 76155-3958
Mailing Address2701 W Royal Lane, Apt 805Irving, TX 75063 · (817) 764-1496 · Fax (817) 997-4342
Phone(817) 764-1496
Fax(817) 997-4342
Sole ProprietorNo
Enumeration DateSeptember 22, 2021
Last NPPES UpdateFebruary 24, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2022
✔ NPI 1447921200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in TX · 37900
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4021 REGGIS CT STE 313, Fort Worth, TX 76155
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Other Names 1

Former Name (1)Dr. Vijaya Lakshmi Pavan Kondru Ms Periodontics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 ›

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 Vijaya Lakshmi Pavan Molli's NPI number?

The NPI number for Vijaya Lakshmi Pavan Molli is 1447921200. It was assigned to this individual provider in the NPPES registry on September 22, 2021. The provider is also known as Dr. Vijaya Lakshmi Pavan Kondru Ms Periodontics.

Where is Vijaya Lakshmi Pavan Molli located?

Vijaya Lakshmi Pavan Molli practices at 4021 Reggis Ct Ste 313, Fort Worth, TX 76155. The listed phone number is (817) 764-1496.

What is Vijaya Lakshmi Pavan Molli's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Vijaya Lakshmi Pavan Molli 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 19 other insurers list Vijaya Lakshmi Pavan Molli 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 Vijaya Lakshmi Pavan Molli was last updated on February 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.