Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NEDA AZADIVATAN-LE, D.D.S.
Active Sole ProprietorDR. NEDA AZADIVATAN-LE, D.D.S. is a Periodontology healthcare provider located in SURFSIDE BEACH, South Carolina. NPI 1922121177 is currently active in the NPPES registry. Verify at CMS.
Periodontology · SURFSIDE BEACH, SC
Registration Details
- NPI Number
- 1922121177
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 10, 2007 (19.309698387521 yrs)
- Last Updated
- Feb 13, 2024
- Licenses
-
049227 (NY)10387 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1947 GLENNS BAY RDSURFSIDE BEACH, SC, 295754833Browse SC providers · Browse ZIP 29575
- Phone
- 8436507171
- Fax
- 8436507173
- Primary Specialty
-
Periodontology
1223P0300X
- Additional Specialty
- Periodontology
Other Periodontology Providers in SURFSIDE BEACH, SC
| Name | Credential | NPI |
|---|---|---|
| DR. JEANNE L. FOURRIER | D.D.S. | 1326041237 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.