Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deeptha Surampudi DDS PC

Organization General Practice Dentistry · NPI 1659258721

Deeptha Surampudi DDS PC provides General Practice Dentistry in Charlotte, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10106 Johnston Rd Ste C
Charlotte, NC 28210-0141
Phone: (704) 557-0011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1659258721
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pawan Sunkesula — Am · (224) 275-5215
NPI enumeratedAugust 19, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025
Mailing address1104 Ladera Dr, Waxhaw, NC 28173-0044

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