IndividualActive
Punya Srikanth, DMD
NPI 1104439744 · General Practice Dentistry · Manitowoc, WI
Provider details
- NPI number
- 1104439744
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 1002417-15 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4125 Harbor Town Ln
Manitowoc, WI 54220-5855
Phone: (920) 686-3800
Street-level locationGet directions
Mailing address
2388 S Oneida St
Ashwaubenon, WI 54304-5244
Additional practice locations (3)
- W3216 County Road Kk Ste 107Appleton, WI 54915-9432Phone: (920) 843-6004
- 3300 W College AveAppleton, WI 54914-3920Phone: (920) 830-4100
- 2388 S Oneida StAshwaubenon, WI 54304-5244Phone: (920) 785-5130
Registry dates
- Enumerated
- 2020-08-24
- Last updated
- 2020-08-24
- Certified
- 2020-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.