Organization · Type 2 NPI

Kupperi and Kommineni DDS PLLC

Clinic/Center · Waxhaw, NC

NPI number 1760277206 Active

Practice location

1619 S Providence Rd Ste 120
Waxhaw, NC 28173-0424

Fax (704) 370-9571

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

About NPI 1760277206

Kupperi and Kommineni DDS PLLC's National Provider Identifier is 1760277206, issued on Apr 14, 2025. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Waxhaw, NC. The record was last updated on Apr 14, 2025.