DR. GOPI SURTI DMD NPI 1104318500

NPI Information

NPI: 1104318500
Provider Name: DR. GOPI SURTI, DMD
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
725 RIVER RD STE 204A
EDGEWATER, NJ
ZIP 07020
Phone: (201) 228-9567
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DR. Gopi Surti, DMD is a pediatric dentistry dentist in Edgewater, NJ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Gopi Surti, DMD NPI is 1104318500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

725 RIVER RD STE 204A
EDGEWATER, NJ
ZIP 07020-149
Phone: (201) 228-9567

The enumeration date for this NPI number is 5/31/2018 and was last updated on 10/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	22DI02798000	NEW JERSEY	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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