DR. PRASANTH DOMMARAJU DMD
NPI 1497317515
Dentist - General Practice in Chicago, IL

Q: What is Prasanth Dommaraju's NPI number?

The NPI number for Prasanth Dommaraju is 1497317515. It was assigned to this individual provider in the NPPES registry on June 29, 2019.

Q: What is Prasanth Dommaraju's specialty?

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

Active since June 29, 2019

3924 S ARCHER AVE, CHICAGO, IL 60632(773) 819-7101 Get Directions Write a Review

NPPES record last updated: June 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Prasanth Dommaraju Dmd NPPES

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

DR. PRASANTH DOMMARAJU DMD (NPI 1497317515) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019032098) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1497317515

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. PRASANTH DOMMARAJUCredential: DMD

Location Address3924 S ARCHER AVEChicago, IL 60632-1116

Mailing Address3924 S Archer AveChicago, IL 60632-1116

Phone(773) 819-7101

Sole ProprietorYes

Enumeration DateJune 29, 2019

✔ NPI 1497317515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019032098

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.

3924 S ARCHER AVE, Chicago, IL 60632

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter from Meridian 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 Prasanth Dommaraju's NPI number?

The NPI number for Prasanth Dommaraju is 1497317515. It was assigned to this individual provider in the NPPES registry on June 29, 2019.

Where is Prasanth Dommaraju located?

Prasanth Dommaraju practices at 3924 S Archer Ave, Chicago, IL 60632. The listed phone number is (773) 819-7101.

What is Prasanth Dommaraju's specialty?

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

What insurance does Prasanth Dommaraju accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter from Meridian and 15 other insurers list Prasanth Dommaraju 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 Prasanth Dommaraju was last updated on June 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.