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PRAKASH PANGENI
NPI 1912764630
Dentist in Marinette, WI

Active since February 28, 2024
2324 ROOSEVELT RD, MARINETTE, WI 54143(206) 543-0903 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prakash Pangeni NPPES

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

PRAKASH PANGENI (NPI 1912764630) is an individual dentist in Marinette, Wisconsin, licensed in Wisconsin (6001604-15) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1912764630
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NamePRAKASH PANGENI
Location Address2324 ROOSEVELT RDMarinette, WI 54143-3824
Mailing Address2324 Roosevelt RdMarinette, WI 54143-3824
Phone(206) 543-0903
Sole ProprietorNo
Enumeration DateFebruary 28, 2024
Last NPPES UpdateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1912764630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in WI · 6001604-15
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2324 ROOSEVELT RD, Marinette, WI 54143
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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 Prakash Pangeni's NPI number?

The NPI number for Prakash Pangeni is 1912764630. It was assigned to this individual provider in the NPPES registry on February 28, 2024.

Where is Prakash Pangeni located?

Prakash Pangeni practices at 2324 Roosevelt Rd, Marinette, WI 54143. The listed phone number is (206) 543-0903.

What is Prakash Pangeni's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Prakash Pangeni accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Prakash Pangeni 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 Prakash Pangeni was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.