Provider Demographics
NPI:1316834005
Name:PADODARA, TWISHA S (DMD)
Entity type:Individual
Prefix:
First Name:TWISHA
Middle Name:S
Last Name:PADODARA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2863 LEE DR
Mailing Address - Street 2:
Mailing Address - City:JAMISON
Mailing Address - State:PA
Mailing Address - Zip Code:18929-1047
Mailing Address - Country:US
Mailing Address - Phone:908-386-6140
Mailing Address - Fax:
Practice Address - Street 1:1528 WALNUT ST STE 1704
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-3612
Practice Address - Country:US
Practice Address - Phone:215-546-0707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0451311223G0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice