Provider Demographics
NPI:1851729644
Name:SUSMITHA ALURU, PLLC
Entity Type:Organization
Organization Name:SUSMITHA ALURU, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSMITHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALURU
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:630-562-6027
Mailing Address - Street 1:219 VARCO DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78738-6555
Mailing Address - Country:US
Mailing Address - Phone:630-562-6027
Mailing Address - Fax:
Practice Address - Street 1:409 W FRONT ST
Practice Address - Street 2:SUITE #250
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-4204
Practice Address - Country:US
Practice Address - Phone:630-562-6027
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-15
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX244001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty