Provider Demographics
NPI:1063386944
Name:ANAND PULLAT DDS PLLC
Entity type:Organization
Organization Name:ANAND PULLAT DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANAND
Authorized Official - Middle Name:
Authorized Official - Last Name:PULLAT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-913-6096
Mailing Address - Street 1:113 132ND ST S
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98444-4807
Mailing Address - Country:US
Mailing Address - Phone:253-537-9317
Mailing Address - Fax:253-537-1371
Practice Address - Street 1:113 132ND ST S
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98444-4807
Practice Address - Country:US
Practice Address - Phone:253-537-9317
Practice Address - Fax:253-537-1371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty