Sudha M Edpuganti DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUDHA M EDPUGANTI DDS PLLC

Doing business as

Pineville Dental Studio

Practice address

10635 Park Rd Ste B
Charlotte, NC 28210-8408

Phone

(980) 226-8891

NPI assigned

Nov 20, 2023

Last updated

Nov 20, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sudha M Edpuganti, DDSNPI 1215423819

Title

Owner

Phone

(980) 226-8891

Specialties & licenses 1

Addresses

Other names 1

• PINEVILLE DENTAL STUDIO Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sudha M Edpuganti

  • Dentist
  • Charlotte, NC
  • NPI 1215423819

  General Practice

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1649045527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10635 PARK RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108408",
            "telephone_number": "980-226-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10635 PARK RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108408",
            "telephone_number": "980-226-8891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHA M EDPUGANTI DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "EDPUGANTI",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-226-8891",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PINEVILLE DENTAL STUDIO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Successions, Inc.
• Daniel Robert Sucherman, M.D.
• Suchitar Sharma D.D.S. PLLC (TRU Dental)
• Jennifer E. Suckow, PA-C
• Tracy Suddreth, ACCNS-AG
• Kathryn Jane Sudikoff, DMD
• Justin Craig Sudlow, DPT
• Donald J Sudy, MD
• Sue's Mobile Services
• Luisa Suess, MA, QMHP,QRP

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.