Provider Demographics
NPI:1275787657
Name:GOPI KAPADIA DDS PC
Entity Type:Organization
Organization Name:GOPI KAPADIA DDS PC
Other - Org Name:ESPECIALIDADES DENTALES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GOPI
Authorized Official - Middle Name:ANAY
Authorized Official - Last Name:KAPADIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-266-9659
Mailing Address - Street 1:4008 N 33RD AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85017-4510
Mailing Address - Country:US
Mailing Address - Phone:602-266-9659
Mailing Address - Fax:602-266-8275
Practice Address - Street 1:4008 N 33RD AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-4510
Practice Address - Country:US
Practice Address - Phone:602-266-9659
Practice Address - Fax:602-266-8275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-11
Last Update Date:2008-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD6285122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty