Provider Demographics
NPI:1588493498
Name:SURI, AMREEK (DMD)
Entity type:Individual
Prefix:DR
First Name:AMREEK
Middle Name:
Last Name:SURI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:RICKY
Other - Middle Name:
Other - Last Name:SURI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:1395 CENTER DR RM D8-18
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-3006
Mailing Address - Country:US
Mailing Address - Phone:352-273-6775
Mailing Address - Fax:
Practice Address - Street 1:1395 CENTER DR RM D8-18
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3006
Practice Address - Country:US
Practice Address - Phone:352-273-6775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDRPM28001223X0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0008XDental ProvidersDentistOral and Maxillofacial Radiology