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KUNDURU DENTAL PLLC
NPI 1629598586
Dentist - General Practice in Tyler, TX

Active since June 22, 2017
4164 S BROADWAY AVE, TYLER, TX 75701(903) 939-0703 Get Directions Write a Review

NPPES record last updated: June 22, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kunduru Dental Pllc NPPES

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

KUNDURU DENTAL PLLC (NPI 1629598586) is a healthcare organization registered as a general practice in Tyler, Texas and active in the NPI registry since June 2017. The organization lists Hemanth Kunduru, Owner, as its authorized official.

NPPES Registry Identity

NPI1629598586
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKUNDURU DENTAL PLLC
Location Address4164 S BROADWAY AVETyler, TX 75701-8719
Mailing AddressPo Box 3189Syracuse, NY 13220-3189
Phone(903) 939-0703
Organization SubpartNo
Authorized OfficialHemanth KunduruOwner · (315) 454-6000
Enumeration DateJune 22, 2017
✔ NPI 1629598586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
4164 S BROADWAY AVE, Tyler, TX 75701
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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 MULTIPLE 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 ›

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.

SOHEIL HAFTBARADARAN
Dentist
4164 S BROADWAY AVE
TYLER, TX 75701
Smith County (903) 939-0703
HONGLAM THI VO DMD
Dentist
4164 S BROADWAY AVE
TYLER, TX 75701
Smith County (903) 939-0703
JUSTIN M STEPHENS DMD
Dentist (General Practice)
4164 S BROADWAY AVE
TYLER, TX 75701
Smith County (903) 705-7574

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 Kunduru Dental PLLC's NPI number?

The NPI number for Kunduru Dental PLLC is 1629598586. It was assigned to this organization in the NPPES registry on June 22, 2017.

Where is Kunduru Dental PLLC located?

Kunduru Dental PLLC is located at 4164 S Broadway Ave, Tyler, TX 75701. The listed phone number is (903) 939-0703.

What is Kunduru Dental PLLC's specialty?

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

What insurance does Kunduru Dental PLLC 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 3 other insurers list Kunduru Dental PLLC 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 Kunduru Dental PLLC was last updated on June 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.