# DR. SANDEEP KONDA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1649023250
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 22DI03158700 | NJ | — |
| 122300000X | Dentist | DS044686 | PA | Yes |

## Other

- **Enumeration date:** 04/11/2024
- **Last updated:** 08/22/2026