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

Dr. Shanmukha Reddy Kallam, DDS

Individual provider General Practice Dentistry · NPI 1184257610

Dr. Shanmukha Reddy Kallam, DDS is a General Practice Dentistry in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1575 N 52nd St Ste 705
Philadelphia, PA 19131-4729
Phone: (215) 879-1777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS042550 (PA)

Record details

NPI number1184257610
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedFebruary 12, 2020
Last updated in NPPESFebruary 12, 2020
Certification dateFebruary 12, 2020

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