Susmitha Aluru, DMD
Individual provider Active NPI Dentist · Hutto, TX
NPI 1912095928 · NPPES record last updated Feb 25, 2014
Key facts
- NPI
- 1912095928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 24400 (TX)
- Practice address
- 409 W Front St
Suite#250
Hutto, TX 78634-4204 - Phone
- (512) 642-6109
- Fax
- (512) 642-6194
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24400 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susmitha Aluru, PLLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
409 W Front St
Ste 250
Hutto, TX 78634
Phone (512) 642-6109
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 24400 | TX | |
| Dentist | 122300000X | 24400 | TX | Yes |
Addresses
Primary practice location
409 W Front St
Suite#250
Hutto, TX 78634-4204
Mailing address
409 W Front St
Suite#250
Hutto, TX 78634-4204
Phone (512) 642-6109
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49682253 | Medicaid | CO | |
| 1758590 | Other | CO | UNITED CONCORDIA |
Other providers in Hutto, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.