Dr. Shanti Gopalan is a San Diego, California based Pediatric Dentist who is specialized in Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Shanti Gopalan is 55853 for Pediatric Dentistry in California. Her current practice location is 13347 Entreken Ave, San Diego. Patients can reach her at 858-740-6977.
Dr. Shanti Gopalan provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Shanti Gopalan speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Shanti Gopalan
Specialization:
Pediatric Dentist
Gender:
Female
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
13347 Entreken Ave, San Diego, California, 92129-2353
Phone:
858-740-6977
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1003953936
NPI Enumeration Date:
31 Jan, 2007
NPI Last Update On:
17 Mar, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Shanti Gopalan are as mentioned below.
License Number
Specialization
State
Status
55853
Pediatric Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Shanti Gopalan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D7103
Medicaid
Arizona
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
13347 Entreken Ave, San Diego, California
Zip:
92129-2353
Phone Number:
858-740-6977
Patients can reach Dr. Shanti Gopalan at 13347 Entreken Ave, San Diego, California or can call to book an appointment on 858-740-6977. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.