Dr. Surender Tippireddy Dmd LLC
Dentist, General Practice in Gahanna, OH. Organization (NPI-2).
NPI number1356875868
StatusActive
Last updated in NPPESApr 12, 2017
Details
- NPI
- 1356875868
- Entity type
- Organization (NPI-2)
- Legal business name
- Dr. Surender Tippireddy Dmd LLC
- Organization subpart
- No
- Enumeration date
- Apr 12, 2017
- Last updated
- Apr 12, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 30023515 | OH | Yes |
Practice location
440 Beecher RdGahanna, OH 43230-1797
Phone 614-855-5828 · Fax 614-855-5827
Mailing address
440 Beecher RdGahanna, OH 43230-1797
Phone 614-855-5828 · Fax 614-855-5827
Authorized official
Surender Tippireddy
General Dentist
6148555828
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