Dr Shanti Gopalan, DDS - Dentist in San Diego, CA

Dr Shanti Gopalan, DDS is a Dentist - Pediatric Dentistry based in San Diego, California. Dr Shanti Gopalan is licensed to practice in California (license number 55853) and her current practice location is 13347 Entreken Ave, San Diego, California. She can be reached at her office (for appointments etc.) via phone at (858) 740-6977.

NPI number for Dr Shanti Gopalan is 1003953936 and her current mailing address is 13347 Entreken Ave, San Diego, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003953936.

Contact Information

Dr Shanti Gopalan, DDS
13347 Entreken Ave,
San Diego, CA 92129-2353
(858) 740-6977
Not Available



Healthcare Provider's Profile

Full NameDr Shanti Gopalan
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location13347 Entreken Ave, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003953936
  • Provider Enumeration Date: 01/31/2007
  • Last Update Date: 03/17/2018

Medical Identifiers

Medical identifiers for Dr Shanti Gopalan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003953936NPI-NPPES
D7103MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 55853 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shanti Gopalan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Shanti Gopalan, DDS
13347 Entreken Ave,
San Diego, CA 92129-2353

Ph: (858) 740-6977
Dr Shanti Gopalan, DDS
13347 Entreken Ave,
San Diego, CA 92129-2353

Ph: (858) 740-6977

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› Verified 5 days ago


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