# ELMWOOD DENTAL PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588410005
- **Authorized official:** DR. NAYAKI GADDIPATI DMD (OWNER/DENTIST)
- **Authorized official phone:** (214) 336-9767

## Contact information

- **Practice address:** 1132 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2413
- **Practice address phone:** (833) 432-1457
- **Mailing address:** 1132 NEW BRITAIN AVE, WEST HARTFORD, CT 06110-2413

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2024
- **Last updated:** 04/25/2024