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M MALLEMPALLI PROFESSIONAL DENTAL CORPORATION
NPI 1508363391
Dentist - General Practice in Imperial Beach, CA

Active since April 09, 2018
600 PALM AVE., SUITE#116, IMPERIAL BEACH, CA 91932(619) 628-8123 Get Directions Write a Review

NPPES record last updated: April 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About M Mallempalli Professional Dental Corporation NPPES

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

M MALLEMPALLI PROFESSIONAL DENTAL CORPORATION (NPI 1508363391) is a healthcare organization registered as a general practice in Imperial Beach, California and active in the NPI registry since April 2018. The organization lists Manimanjari Mallempalli, Dentist(president), as its authorized official.

NPPES Registry Identity

NPI1508363391
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameM MALLEMPALLI PROFESSIONAL DENTAL CORPORATION
Location Address600 PALM AVE., SUITE#116Imperial Beach, CA 91932
Mailing Address11412 Fairwind CourtSan Diego, CA 92130
Phone(619) 628-8123
Organization SubpartNo
Authorized OfficialManimanjari MallempalliDentist(president) · (760) 586-7056
Enumeration DateApril 9, 2018
✔ NPI 1508363391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 49586
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.
600 PALM AVE., Imperial Beach, CA 91932
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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

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 M Mallempalli Professional Dental Corporation's NPI number?

The NPI number for M Mallempalli Professional Dental Corporation is 1508363391. It was assigned to this organization in the NPPES registry on April 9, 2018.

Where is M Mallempalli Professional Dental Corporation located?

M Mallempalli Professional Dental Corporation is located at 600 Palm Ave. Suite#116, Imperial Beach, CA 91932. The listed phone number is (619) 628-8123.

What is M Mallempalli Professional Dental Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for M Mallempalli Professional Dental Corporation was last updated on April 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.