Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koppuravuri DDS PLLC

Organization Dental Clinic/Center · NPI 1578325924

Koppuravuri DDS PLLC is a Dental Clinic/Center in Charlotte, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4847 Shopton Rd Ste C-D
Charlotte, NC 28278-6747
Phone: (704) 444-0772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1578325924
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Venkatasuman Koppuravuri — Dentist · (937) 475-9057
Other names Shopton Dental
NPI enumeratedJanuary 30, 2024
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024
Mailing address8938 Tremont Ridge Ct, Charlotte, NC 28277-6200

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