Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shree Anitha Prasanna PA

Organization General Practice Dentistry · NPI 1194199364

Shree Anitha Prasanna PA is a General Practice Dentistry in Titusville, Florida. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1490 Cheney Hwy
Titusville, FL 32780-6250
Phone: (321) 267-3304
Fax: (321) 267-9191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Customized Equipment (DME) (primary) Taxonomy 332BC3200X
General Practice Dentistry Taxonomy 1223G0001X

Record details

NPI number1194199364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shree Prasanna — Administrator Officer · (321) 268-0108
Other names Space Coast Dentistry; Space Coast Dentistry
NPI enumeratedNovember 25, 2015
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025
Mailing address1490 Cheney Hwy, Titusville, FL 32780-6250

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