IndividualActive
Divya Reddy
NPI 1043109119 · General Practice Dentistry · Taylor, TX
Provider details
- NPI number
- 1043109119
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 41675 (TX)
Specialties & taxonomies
Dental Providers
Practice location
100 Carlos G Parker Blvd Nw Ste 108
Taylor, TX 76574-7059
Phone: (254) 978-5928
Approximate (ZIP-level) locationGet directions
Mailing address
401 Westinghouse Rd Apt 10108
Georgetown, TX 78626-5617
Registry dates
- Enumerated
- 2025-07-02
- Last updated
- 2025-07-02
- Certified
- 2025-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.