Susarla, Advaita
Susarla, Advaita is an individual health care provider with primary practice located at 5621 Rivers Ave , North Charleston SC 29406-6022. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Susarla, Advaita can be contacted via phone (843) 641-0143.Contact Information
Primary practice address
5621 Rivers Ave
North Charleston SC 29406-6022
Phone: (843) 641-0143
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 1001729 | Wisconsin |
| Dental Providers / General Practice | 1223G0001X | 35896 | Texas |
| Dental Providers / General Practice | 1223G0001X | 11068 | South Carolina |
Profile Details
| NPI number | 1346756533 |
|---|---|
| LBN Legal business name | Susarla, Advaita |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2017 |
| Last updated | May 13th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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