SHISHIRA SURAPU REDDY - NPI 1689564551 - Dentist in Suthern Pines, NC

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

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About Shishira Surapu Reddy NPPES

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

SHISHIRA SURAPU REDDY (NPI 1689564551) is an individual general practice provider in Suthern Pines, North Carolina, licensed in North Carolina (14459) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1689564551

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameSHISHIRA SURAPU REDDY

Location Address10868 SOUTHERN PINESSuthern Pines, NC 28387

Mailing Address101 Bellamy Mill DrHolly Springs, NC 27540-4983 · (984) 500-8242

Phone(910) 992-3089

Sole ProprietorNo

Enumeration DateJuly 3, 2025

Last NPPES UpdateSeptember 15, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2025

✔ NPI 1689564551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 14459

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.

10868 SOUTHERN PINES, Suthern Pines, NC 28387

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Frequently Asked Questions

What is Shishira Surapu Reddy's NPI number?

The NPI number assigned to this healthcare provider is 1689564551, enumerated as an "individual" on July 03, 2025.

Where is the provider located?

The provider is located at 10868 SOUTHERN PINES SUTHERN PINES, NC 28387 and the phone number is (910) 992-3089.

What is the provider's specialty?

Dentist with taxonomy code 1223G0001X and a focus in General Practice.