# KISHORE THAMMINENI DENTAL ASSOCIATES DDS PC

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

## Provider details

- **NPI number:** 1972996114
- **Authorized official:** DR. KISHORE BABU THAMMINENI DDS (OWNER)
- **Authorized official phone:** (305) 942-3458

## Contact information

- **Practice address:** 20876 ISHERWOOD TER APT 101, ASHBURN, VA 20147-7788
- **Practice address phone:** (305) 942-3458
- **Practice address fax:** (540) 773-3284
- **Mailing address:** 1330 AMHERST ST STE B, WINCHESTER, VA 22601-3000
- **Mailing address phone:** (305) 942-3458
- **Mailing address fax:** (540) 773-3284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401414079 | VA | Yes |

## Other

- **Enumeration date:** 03/12/2015
- **Last updated:** 03/12/2015