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SUPRITHA SHETTY KOMARISETTY
NPI 1184553257
Dentist - General Practice in Sweetwater, TX

Active since May 15, 2026
309 NE GEORGIA AVE # 124, SWEETWATER, TX 79556(325) 236-6902 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Supritha Shetty Komarisetty NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUPRITHA SHETTY KOMARISETTY (NPI 1184553257) is an individual general practice provider in Sweetwater, Texas, licensed in Texas (42546) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1184553257
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSUPRITHA SHETTY KOMARISETTY
Location Address309 NE GEORGIA AVE # 124Sweetwater, TX 79556-8246
Mailing Address309 Ne Georgia Ave # 124Sweetwater, TX 79556-8246 · (325) 236-6902
Phone(325) 236-6902
Sole ProprietorNo
Enumeration DateMay 15, 2026
Last NPPES UpdateJuly 2, 2026
NPPES CertifiedJuly 2, 2026
✔ NPI 1184553257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TX · 42546
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
309 NE GEORGIA AVE # 124, Sweetwater, TX 79556
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SHWETA VIJAY ANNALDASULA DDS
Dentist
309 NE GEORGIA AVE # 124
SWEETWATER, TX 79556
Nolan County (325) 236-6902

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Supritha Shetty Komarisetty's NPI number?

The NPI number for Supritha Shetty Komarisetty is 1184553257. It was assigned to this individual provider in the NPPES registry on May 15, 2026.

Where is Supritha Shetty Komarisetty located?

Supritha Shetty Komarisetty practices at 309 NE Georgia Ave # 124, Sweetwater, TX 79556. The listed phone number is (325) 236-6902.

What is Supritha Shetty Komarisetty's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Supritha Shetty Komarisetty was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.