1. Home
  2. Directory
  3. Texas
  4. Longview
  5. Dentist
  6. NPI Profile

GEETA GYANESHWARI MANDAVILLI
NPI 1811511470
Dentist - General Practice in Longview, TX

Active since May 29, 2020
3080 N EASTMAN RD, LONGVIEW, TX 75605(903) 686-0086 Get Directions Write a Review

NPPES record last updated: November 7, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2021, Oct 4, 2021, May 29, 2020 (3 updates tracked since 2020).

About Geeta Gyaneshwari Mandavilli NPPES

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

GEETA GYANESHWARI MANDAVILLI (NPI 1811511470) is an individual general practice provider in Longview, Texas, licensed in Texas (36840) and active in the NPI registry since May 2020. She maintains a secondary practice location in Shreveport.

NPPES Registry Identity

NPI1811511470
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameGEETA GYANESHWARI MANDAVILLI
Location Address3080 N EASTMAN RDLongview, TX 75605-5174
Mailing Address301 County Road 207 Apt 1110Alvarado, TX 76009-1450 · (334) 488-9669
Phone(903) 686-0086
Sole ProprietorYes
Enumeration DateMay 29, 2020
Last NPPES UpdateNovember 7, 20213 updates tracked since enumeration
NPPES CertifiedNovember 7, 2021
✔ NPI 1811511470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in TX · 36840✔ Licensed in LA · 7054-PR
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.
3080 N EASTMAN RD, Longview, TX 75605
Open in Google Maps ↗

Secondary Practice Location 1

Location 17251 Youree DrShreveport, LA 71105-5104 · Phone (334) 488-9669

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 5

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

DR. DEXTER BERLIN DAFNEY DDS
Dentist (General Practice)
3080 N EASTMAN RD
LONGVIEW, TX 75605
Gregg County (903) 871-5602
CHRISTOPHER JUNG
Dentist (General Practice)
3080 N EASTMAN RD
LONGVIEW, TX 75605
Gregg County (008) 690-3686
STERLING DAO DMD
Dentist (General Practice)
3080 N EASTMAN RD
LONGVIEW, TX 75605
Gregg County (903) 686-0086
RENITA COX DDS
Dentist
3080 N EASTMAN RD
LONGVIEW, TX 75605
Gregg County (281) 777-3866
DR. MARC J MEADOWS DDS
Dentist (General Practice)
3080 N EASTMAN RD
LONGVIEW, TX 75605
Gregg County (903) 309-2152

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 Geeta Mandavilli's NPI number?

The NPI number for Geeta Mandavilli is 1811511470. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Where is Geeta Mandavilli located?

Geeta Mandavilli practices at 3080 N Eastman Rd, Longview, TX 75605. The listed phone number is (903) 686-0086.

What is Geeta Mandavilli's specialty?

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

What insurance does Geeta Mandavilli 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 20 other insurers list Geeta Mandavilli 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 Geeta Mandavilli was last updated on November 7, 2021. 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.