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

Prakash Pangeni

Individual provider Dentist · NPI 1912764630

Prakash Pangeni is a Dentist in Marinette, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2024.

Licensed in
WI
In the registry since
2024

Practice location Address checks out

2324 Roosevelt Rd
Marinette, WI 54143-3824
Phone: (206) 543-0903
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 6001604-15 (WI)

Record details

NPI number1912764630
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 28, 2024
Last updated in NPPESJune 25, 2024
Certification dateJune 25, 2024
Mailing address2324 Roosevelt Rd, Marinette, WI 54143-3824

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