Dr. Gopi Surti
Pediatric Dentist
725 River Rd Ste 204a
Edgewater
, New Jersey 07020-1149
Dr. Gopi Surti
Pediatric Dentist
725 River Rd Ste 204a
Edgewater
, New Jersey 07020-1149
(860) 803-6385
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Gopi Surti
- 30 Sandra Dr
- Manchester, CT
- Zip : 06042-8231
- Phone : (860) 803-6385
Second Address
- Dr. Gopi Surti
- 725 River Rd Ste 204a
- Edgewater, NJ
- Zip : 07020-1149
- Phone : (201) 228-9567
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 22DI02798000 | NJ |
National Provider Identifier
| NPI | 1104318500 |
|---|---|
| Provider Name | Dr. Gopi Surti |
| First Address | Manchester, CT 06042-8231 |
| Second Address | Edgewater, NJ 07020-1149 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2018 |
| Last Update Date | 20/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.