Provider Demographics
NPI:1669341590
Name:RAGHAV SUNDARESH 2 DDS PLLC
Entity type:Organization
Organization Name:RAGHAV SUNDARESH 2 DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAGHAV
Authorized Official - Middle Name:ANAND
Authorized Official - Last Name:SUNDARESH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:704-800-0305
Mailing Address - Street 1:230 E WT HARRIS BLVD STE A3
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-3534
Mailing Address - Country:US
Mailing Address - Phone:704-706-9030
Mailing Address - Fax:
Practice Address - Street 1:230 E WT HARRIS BLVD STE A3
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-3534
Practice Address - Country:US
Practice Address - Phone:704-706-9030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty