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

Dr. Neda Azadivatan-Le, DDS

Individual provider Periodontics · NPI 1922121177

Dr. Neda Azadivatan-Le, DDS is a Periodontics in Surfside Beach, South Carolina. Practices as a sole proprietor. Licensed in New York and South Carolina.

Licensed in
NY, SC
In the registry since
2007
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

1947 Glenns Bay Rd
Surfside Beach, SC 29575-4833
Phone: (843) 650-7171
Fax: (843) 650-7173
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 10387 (SC)
Periodontics Taxonomy 1223P0300X · Licence 049227 (NY)

Record details

NPI number1922121177
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 10, 2007
Last updated in NPPESFebruary 13, 2024
Certification dateFebruary 13, 2024

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