MEDICARE: RAGHAV SUNDARESH 2 DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1669341590
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAGHAV SUNDARESH 2 DDS PLLC

Provider Business Mailing Address
First Line	:	230 E WT HARRIS BLVD STE A3
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-3534
Country	:	US
Telephone Number	:	704-706-9030
Fax Number	:

Provider Business Practice Location Address
First Line	:	230 E WT HARRIS BLVD STE A3
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-3534
Country	:	US
Telephone Number	:	704-706-9030
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DOCTOR
Name	:	RAGHAV ANAND SUNDARESH
Credential	:	DDS
Telephone Number	:	704-800-0305

Provider Enumeration Date	:	10/30/2025
Last Update Date	:	10/30/2025

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