Individual
DR. DEEPTHA SURAMPUDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
10106 JOHNSTON RD STE C, CHARLOTTE, NC 28210-0141
(704) 557-0011
Mailing address
1104 LADERA DR, WAXHAW, NC 28173-0044
(224) 229-9688
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12880
NC
Other
Enumeration date
09/18/2014
Last updated
11/04/2025
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