Provider Demographics
NPI:1669895611
Name:SURI, ANUJ (DDS)
Entity type:Individual
Prefix:DR
First Name:ANUJ
Middle Name:
Last Name:SURI
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10886 E CRESTLINE CIR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-3805
Mailing Address - Country:US
Mailing Address - Phone:347-642-2981
Mailing Address - Fax:
Practice Address - Street 1:8120 S HOLLY ST STE 10
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-4005
Practice Address - Country:US
Practice Address - Phone:303-773-9400
Practice Address - Fax:303-773-9518
Is Sole Proprietor?:No
Enumeration Date:2014-01-28
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.00202154122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist