Dr. Neda Azadivatan-le
D.D.S. | Periodontics
1947 Glenns Bay Rd, Surfside Beach
South Carolina, 29575-4833
843-650-7171 843-650-7173
Maps & DirectionsDr. Neda Azadivatan-le is a Surfside Beach, South Carolina based Periodontics who is specialized in
Periodontology. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Neda Azadivatan-le is
10387 for Periodontology in South Carolina. Her current practice location is
1947 Glenns Bay Rd, Surfside Beach. Patients can reach her at
843-650-7171.
Dr. Neda Azadivatan-le is specialized in that branch 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.
Complete Profile:
Dr. Neda Azadivatan-le speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Neda Azadivatan-le |
| Specialization: | Periodontics |
| Gender: | Female |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1947 Glenns Bay Rd, Surfside Beach,
South Carolina, 29575-4833 |
| Phone: | 843-650-7171 |
| Fax: | 843-650-7173 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1922121177 |
| NPI Enumeration Date: | 10 Apr, 2007 |
| NPI Last Update On: | 13 Feb, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Neda Azadivatan-le are as mentioned below.
| License Number | Specialization | State | Status | |
| 10387 | Periodontology | South Carolina | Primary | |
| 049227 | Periodontology | New York | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 15639,
Surfside Beach, South Carolina |
| Zip: | 29587-5639 |
| Phone Number: | 843-650-7171 |
| Fax Number: | 843-650-7173 |
Patients can reach Dr. Neda Azadivatan-le at
1947 Glenns Bay Rd, Surfside Beach, South Carolina or can
call to book an appointment on 843-650-7171.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.