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Pramod Tadakamalla, DDS
NPI 1629591854 · on the registry since 2017
Practice
- Address
- 3510 N University St Ste C
Peoria, IL 61604 - Phone
- (309) 271-7777
- Fax
- (309) 324-5777
- Organisation at this address
- Vogue Dental Peoria Llc
Affinity Dental Peoria Llc
Access Dental Of Peoria Vogue PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Also registered as
- Dentist
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-01
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 Illinois