Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376990077 Individual Practitioner Female Practitioner

Susee Priyanka Ravuri , BDS, MPA, MSD

Dentist - General Practice • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Susee Priyanka Ravuri, BDS, MPA, MSD is a registered healthcare professional specializing in Dentist - General Practice in Puyallup, WA. Practice services are available at 1002 N MERIDIAN STE A104 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1002 N Meridian Ste A104

Puyallup, WA 983714409

Telephone 6193009832

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Puyallup, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
65 Specialists

Practicing in Puyallup, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60729800

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License VA 0401415871

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

2165 Cunningham Dr

Hampton, VA 236662569

Phone: 6193009832

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1114273422
NPI 1366173601

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location February 11, 2020

Registered at 1002 N MERIDIAN STE A104, PUYALLUP, WA 983714409 (Tel: 6193009832)

📍
Updated Business Mailing Address February 11, 2020

Registered at 1002 N MERIDIAN STE A104, PUYALLUP, WA 983714409 (Tel: 6193009832)

NPI Profile Active October 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2017

Registered at 2165 CUNNINGHAM DR, HAMPTON, VA 236662569 (Tel: 6193009832)

📍
Updated Business Mailing Address October 12, 2017

Registered at 2165 CUNNINGHAM DR, HAMPTON, VA 236662569 (Tel: 6193009832)

👤
Provider Name / Credentials Updated October 12, 2017

Recorded as SUSEE PRIYANKA RAVURI, BDS, MPA, MSD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2017

Dentist (License #0401415871 in VA)

NPI Profile Active May 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2016

Registered at 1959 NE PACIFIC ST, #221 B, SEATTLE, WA 981956370 (Tel: 6193009832)

📍
Updated Business Mailing Address May 23, 2016

Registered at 1959 NE PACIFIC ST, #221 B, SEATTLE, WA 981956370 (Tel: 6193009832)

👤
Provider Name / Credentials Updated May 23, 2016

Recorded as SUSEE PRIYANKA RAVURI, BDS, MPA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 23, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376990077
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2016
Last Update: February 11, 2020
Sole Proprietor: No

Mailing Address

1002 N Meridian Ste A104

Puyallup, WA 983714409

Phone: 6193009832

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.