DR. SREEKANTH KANAGARLA


Address: 2614 State St, East Saint Louis, IL 62205-2325
Phone: 2702430311

DR. SREEKANTH KANAGARLA (NPI# 1043531627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043531627
Entity Type Individual
Full Name DR. SREEKANTH KANAGARLA
Credential D.D.S.
Practice Address 2614 State St
East Saint Louis
IL 62205-2325
Practice Telephone 2702430311
Enumeration Date 2010-06-17
Last Update Date 2012-03-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
019.028385 IL Dental Providers
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 2614 STATE ST
City EAST SAINT LOUIS
State IL
Zip Code 62205-2325

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790156610 Lessie Bates Davis Neighborhood House Registered Nurse 1200 North 13th Street, East Saint Louis, IL 62205 2015-10-19
1114047859 Herschel Lee Garrett Jr. Dentist 4020 Caseyville Ave, East St Louis, IL 62205 2007-03-29
1376871103 Toni M. Jackson Massage Therapist 4806 State St, Home Office, East Saint Louis, IL 62205-1355 2009-12-07
1811347362 Destinee Hope Grove Specialist/Technologist 4901 State St, East Saint Louis, IL 62205-1356 2016-06-15
1053963470 Stephanie Michelle Tate-patterson Nurse Practitioner 4901 State St, East Saint Louis, IL 62205-1356 2019-07-16
1710406962 Christa R Dyson-spiller Nurse Practitioner 4901 State St, East Saint Louis, IL 62205-1356 2017-09-19
1558344986 Gerard X Blaise Dentist 4601 State St, Ste 300, East Saint Louis, IL 62205-1359 2005-11-21
1013269737 Illinois Express Home Care In Home Supportive Care 4601 State St, East Saint Louis, IL 62205-1359 2012-10-04
1427227891 Comprehensive Mental Health Center of St. Clair County, Inc. Community/Behavioral Health 4601 State St, East Saint Louis, IL 62205-1359 2008-02-29
1801065289 Comprehensive Mental Health Center of St. Clair County, Inc. Community/Behavioral Health 4601 State St, East Saint Louis, IL 62205-1359 2008-02-29
Find all providers in zip 62205

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy 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.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740305515 Carla Renee Lewis Dentist 3129 State St, East Saint Louis, IL 62205-2203 2007-03-20
1558344986 Gerard X Blaise Dentist 4601 State St, Ste 300, East Saint Louis, IL 62205-1359 2005-11-21
1730797119 Jarvis B Owens Dentist 2608 State St, East Saint Louis, IL 62205-2325 2020-07-21
1174131320 Sara Ahmad Dentist 2608 State St, East Saint Louis, IL 62205-2325 2020-07-14
1073153110 Noopur P Shah Dentist 2608 State St, East Saint Louis, IL 62205-2325 2020-01-07
1780930701 Kristen Frommeyer Thompson Dentist 2608 State St, East Saint Louis, IL 62205-2325 2012-07-27
1801151063 Familia Dental Esl 4 LLC Dentist 2608 State St, East Saint Louis, IL 62205-2325 2012-07-12
1013283126 Familia Dental Esl 4llc Dentist 2608 State St, East Saint Louis, IL 62205-2325 2012-03-23
1114205929 Maryana F Kirolos Dentist 2608 State St, East Saint Louis, IL 62205-2325 2011-07-27
1962792747 Familia Dental Esl LLC Dentist 2608 State St, East Saint Louis, IL 62205-2325 2011-04-13
Find all providers in EAST SAINT LOUIS

Competitor

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City EAST SAINT LOUIS
Zip Code 62205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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