Individual provider · Type 1 NPI

Deeptha Surampudi, DDS

Dentist · Charlotte, NC

NPI number 1831591106 Active

Practice location

10106 Johnston Rd Ste C
Charlotte, NC 28210-0141

Call (704) 557-0011 Map

Mailing address

1104 Ladera Dr
Waxhaw, NC 28173-0044

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X12880 (NC)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1831591106

Deeptha Surampudi, DDS's National Provider Identifier is 1831591106, issued on Sep 18, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 4, 2025.