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DR. NEDA AZADIVATAN-LE D.D.S.
NPI 1922121177
Dentist - Periodontics in Surfside Beach, SC

Active since April 10, 2007
1947 GLENNS BAY RD, SURFSIDE BEACH, SC 29575(843) 650-7171(843) 650-7173 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 6, 2024, Jul 20, 2017 (2 updates tracked since 2017).

About Dr. Neda Azadivatan-le D.d.s. NPPES

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

DR. NEDA AZADIVATAN-LE D.D.S. (NPI 1922121177) is an individual periodontics provider in Surfside Beach, South Carolina, licensed in South Carolina (10387) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1922121177
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameDR. NEDA AZADIVATAN-LECredential: D.D.S.
Location Address1947 GLENNS BAY RDSurfside Beach, SC 29575-4833
Mailing AddressPo Box 15639Surfside Beach, SC 29587-5639 · (843) 650-7171 · Fax (843) 650-7173
Phone(843) 650-7171
Fax(843) 650-7173
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateFebruary 13, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2024
✔ NPI 1922121177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in SC · 10387✔ Licensed in NY · 049227
Definition
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.
1947 GLENNS BAY RD, Surfside Beach, SC 29575
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. JEANNE L. FOURRIER D.D.S.
Dentist (Periodontics)
1947 GLENNS BAY RD
SURFSIDE BEACH, SC 29575
Horry County (843) 650-7171
LASER PERIODONTICS & DENTAL IMPLANTS
Dentist (Periodontics)
1947 GLENNS BAY RD
SURFSIDE BEACH, SC 29575
Horry County (843) 650-7171

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 Neda Azadivatan-le's NPI number?

The NPI number for Neda Azadivatan-le is 1922121177. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Neda Azadivatan-le located?

Neda Azadivatan-le practices at 1947 Glenns Bay Rd, Surfside Beach, SC 29575. The listed phone number is (843) 650-7171.

What is Neda Azadivatan-le's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Neda Azadivatan-le accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Guardian and 1 other insurer list Neda Azadivatan-le as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Neda Azadivatan-le was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.