DR. NEDA AZADIVATAN-LE D.D.S. NPI 1922121177

NPI Information

  • NPI: 1922121177
  • Provider Name: DR. NEDA AZADIVATAN-LE, D.D.S.
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • Address: 1947 GLENNS BAY RD
    SURFSIDE BEACH, SC
    ZIP 29575
  • Phone: (843) 650-7171

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NPI Details

DR. Neda Azadivatan-le, D.D.S. is a periodontics dentist in Surfside Beach, SC. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DR. Neda Azadivatan-le, D.D.S. NPI is 1922121177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1947 GLENNS BAY RD
SURFSIDE BEACH, SC
ZIP 29575-833
Phone: (843) 650-7171
Fax: (843) 650-7173

The enumeration date for this NPI number is 4/10/2007 and was last updated on 2/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodontics049227NEW YORKNo
21223P0300XDentistPeriodontics10387SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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