Organization
DR. SURENDER TIPPIREDDY DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SURENDER TIPPIREDDY DMD (GENERAL DENTIST)
(614) 855-5828
Entity
Organization
Contact information
Practice address
440 BEECHER RD, GAHANNA, OH 43230-1797
(614) 855-5828
(614) 855-5827
Mailing address
440 BEECHER RD, GAHANNA, OH 43230-1797
(614) 855-5828
(614) 855-5827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30023515
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0089122
—
OH
Enumeration date
04/12/2017
Last updated
04/12/2017
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