NPI 1104318500

Gopi Surti, DMD

Practitioner Pediatric Dentistry Edgewater, NJ

Practice location

Address: 725 River Rd STE 204a, Edgewater, NJ 07020-1149
Phone: (201) 228-9567
Mailing address: 30 Sandra Dr, Manchester, CT 06042-8231

Registered specialties (2)

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X Licence 22DI02798000 (NJ)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1104318500
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2018
Record last updated: 20 Oct 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.