IndividualActive
Advaita Susarla, DDS
NPI 1346756533 · General Practice Dentistry · North Charleston, SC
Provider details
- NPI number
- 1346756533
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 1001729 (WI)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
5621 Rivers Ave
North Charleston, SC 29406-6022
Phone: (843) 641-0143
Approximate (ZIP-level) locationGet directions
Mailing address
5621 Rivers Ave
North Charleston, SC 29406-6022
Additional practice locations (1)
- 821 S Layton BlvdMilwaukee, WI 53215-1225Phone: (888) 988-4066
Registry dates
- Enumerated
- 2017-12-26
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.