Jagriti Vanam, DDS
Dentist, General Practice in Raleigh, NC. Individual provider (NPI-1).
NPI number1124818232
StatusActive
Last updated in NPPESAug 5, 2026
Details
- NPI
- 1124818232
- Entity type
- Individual (NPI-1)
- Name
- Jagriti Vanam
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2025
- Certification date
- Aug 5, 2026
- Last updated
- Aug 5, 2026
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 14282 | NC | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2945 New Bern AveRaleigh, NC 27610-1213
Phone 919-834-4932
Mailing address
108 Shurling PlCary, NC 27519-7588
Phone 919-601-2997
Other practice locations
1325 Bradford View Dr Unit 120
Cary, NC 27519-9232
Cary, NC 27519-9232
Phone 984-465-1110
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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.
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