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Mamatha Valishetty

Dentist in Lewisville, TX. Individual provider (NPI-1).

NPI number1023635232
StatusActive
Last updated in NPPESFeb 6, 2024

Details

NPI
1023635232
Entity type
Individual (NPI-1)
Name
Mamatha Valishetty
Sex
Female
Sole proprietor
No
Enumeration date
Jul 3, 2020
Certification date
Feb 6, 2024
Last updated
Feb 6, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist37719TXYes

Practice location

755 State Highway 121 Byp # A200
Lewisville, TX 75067-8189

Phone 732-207-9775

Mailing address

755 State Highway 121 Byp # A200
Lewisville, TX 75067-8189

Phone 732-207-9775

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Dentist providers in Lewisville, TX

All 38 Dentist providers in Lewisville · All 2,138 providers in Lewisville

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