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Divija Takkalapelly

NPI 1528881323 · on the registry since 2024

Practice

Address
989 Ellis Ave
Jackson, MS 39209
Phone
(769) 235-3019
Organisation at this address
Hattiesburg Road Dental, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Additional practice sites

  • 2820 Louisville Ave Ste 100, Monroe, LA
  • 4463 N State St, Jackson, MS

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Also registered as
1223X0400X
1223X0400X
Licence states on file
MS, LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi