Individual
DR. SURENDER TIPPIREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2003 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 529-1492
Mailing address
2003 MEADE PKWY, SUFFOLK, VA 23434-4259
(757) 539-1492
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418275
VA
122300000X
Dentist
30-023515
OH
122300000X
Dentist
DEN03044
RI
Other
Enumeration date
06/08/2009
Last updated
06/05/2024
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