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

Dr. Suman Kishore Kondragunta, DDS

Individual provider General Practice Dentistry · NPI 1447538400

Dr. Suman Kishore Kondragunta, DDS is a General Practice Dentistry in Austin, Texas. Practices as a sole proprietor. Licensed in New Mexico and Texas.

Licensed in
NM, TX
In the registry since
2011
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.

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Practice location Address checks out

2400 E Oltorf St # 100B
Austin, TX 78741-4563
Phone: (512) 822-7275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence TX28527 (TX)
General Practice Dentistry Taxonomy 1223G0001X · Licence DD3548 (NM)

Record details

NPI number1447538400
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 25, 2011
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021
Mailing address4215 Franklin Ave, Waco, TX 76710-2529

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