SearchArizona1223P0221X

Nikita Kuppanda

NPI 1649648668 · on the registry since 2015 · sole proprietor

Practice

Address
21116 N John Wayne Pkwy Ste B7
Maricopa, AZ 85139
Phone
(520) 568-3828
Fax
(520) 568-0443
Organisation at this address
Super Smiles Maricopa Pllc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 1295 E Florence Blvd Ste 4, Casa Grande, AZ

Registry record

Primary taxonomy
1223P0221X
1223P0221X
Also registered as
122300000X
Licence states on file
NM, AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-19

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 Arizona