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Dr. Gopi Surti, DMD
Pediatric Dentist in Edgewater, New Jersey
NPI 1104318500

Gopi Surti is a Pediatric Dentist based in Manchester, NJ and is specialized in Pediatric Dentistry. Gopi Surti practices in Edgewater, NJ and has the professional credentials of DMD. The NPI Number for Gopi Surti is 1104318500 and holds a License No. (New Jersey).

The current practice location address for Gopi Surti is 725 River Rd Ste 204A, Edgewater, NJ and can be reached out via phone at 201-228-9567.

Location: 725 River Rd Ste 204A, Edgewater, NJ, 06042-8231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104318500
Provider Name
Gopi Surti
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
725 River Rd Ste 204A, Edgewater, NJ, 06042-8231
Phone Number
201-228-9567
Fax Number
Provider Enumeration Date
05/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
725 River Rd Ste 204A
City
Edgewater
State
New Jersey
Zip
07020-1149
Phone Number
201-228-9567
Fax Number
person
Provider Business Mailing Address Details
Address
725 River Rd Ste 204A
City
Edgewater
State
New Jersey
Zip
07020-1149
Phone Number
201-228-9567
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
22DI02798000 (New Jersey)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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.
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