Provider Demographics
NPI:1871741280
Name:PABBARAJU, SATYA JYOTHI (DDS)
Entity type:Individual
Prefix:MRS
First Name:SATYA
Middle Name:JYOTHI
Last Name:PABBARAJU
Suffix:
Gender:
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 WINDHAM DR
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-3066
Mailing Address - Country:US
Mailing Address - Phone:215-240-7746
Mailing Address - Fax:
Practice Address - Street 1:235 S POTTSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2747
Practice Address - Country:US
Practice Address - Phone:610-363-8872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-28
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0376101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice