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

Pramod Tadakamalla, DDS

Individual provider General Practice Dentistry · NPI 1629591854

Pramod Tadakamalla, DDS is a General Practice Dentistry in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2017.

Licensed in
IL
In the registry since
2017
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

3510 N University St Ste C
Peoria, IL 61604-1348
Phone: (309) 271-7777
Fax: (309) 324-5777
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019031274 (IL)
Dentist Taxonomy 122300000X · Licence 019.031274 (IL)

Record details

NPI number1629591854
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 19, 2017
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address3510 N University St Ste C, Peoria, IL 61604-1348

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