IndividualActive
Sanjana Mamidi, DDS
NPI 1689414872 · General Practice Dentistry · Philadelphia, PA
Provider details
- NPI number
- 1689414872
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
Student, Health Care
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 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
2301 E Allegheny Ave
Philadelphia, PA 19134-4427
Phone: (215) 282-8000
Approximate (ZIP-level) locationGet directions
Mailing address
36 Greyhound Ct
Kendall Park, NJ 08824-1492
Additional practice locations (1)
- 300 2nd AveLong Branch, NJ 07740-6303Phone: (732) 923-6790
Registry dates
- Enumerated
- 2024-05-28
- Last updated
- 2025-05-15
- Certified
- 2025-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.