Shishira Surapu Reddy, is a
Dentist - General Practice based in Suthern Pines, North Carolina. Shishira Surapu Reddy is licensed to practice in North Carolina (license number 14459) and her current practice location is
10868 Southern Pines, Suthern Pines, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(910) 992-3089.
NPI number for Shishira Surapu Reddy is 1689564551 and her current mailing address is 101 Bellamy Mill Dr, Holly Springs, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689564551.
Healthcare Provider's Profile
| Full Name | Shishira Surapu Reddy |
|---|
| Gender | Female |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 10868 Southern Pines, Suthern Pines, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1689564551
- Provider Enumeration Date: 07/03/2025
- Last Update Date: 09/15/2025
Medical Identifiers
Medical identifiers for Shishira Surapu Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689564551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 14459 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shishira Surapu Reddy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Shishira Surapu Reddy, 101 Bellamy Mill Dr, Holly Springs, NC 27540-4983 Ph: (984) 500-8242 | Shishira Surapu Reddy, 10868 Southern Pines, Suthern Pines, NC 28387 Ph: (910) 992-3089 |
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