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

Geeta Gyaneshwari Mandavilli

Individual provider General Practice Dentistry · NPI 1811511470

Geeta Gyaneshwari Mandavilli is a General Practice Dentistry in Longview, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Louisiana and Texas.

Licensed in
LA, TX
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3080 N Eastman Rd
Longview, TX 75605-5174
Phone: (903) 686-0086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7251 Youree Dr, Shreveport, LA 71105-5104 — (334) 488-9669

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 36840 (TX)
General Practice Dentistry Taxonomy 1223G0001X · Licence 7054-PR (LA)

Record details

NPI number1811511470
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 29, 2020
Last updated in NPPESNovember 7, 2021
Certification dateNovember 7, 2021

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