Healthcare Provider Details

I. General information

NPI: 1396024105
Provider Name (Legal Business Name): THOMAS PAUL SURANYI DDS MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2011
Last Update Date: 06/12/2023
Certification Date: 06/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 EPPING RD
EXETER NH
03833-1519
US

IV. Provider business mailing address

62 MAGNOLIA DR
PELHAM NH
03076-5106
US

V. Phone/Fax

Practice location:
  • Phone: 603-836-8580
  • Fax:
Mailing address:
  • Phone: 34-014-8806
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0700X
TaxonomyProsthodontics
License Number04165
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: