Healthcare Provider Details

I. General information

NPI: 1720120074
Provider Name (Legal Business Name): VIRGINIA KARAPANOU D.M.D, M.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 KNEELAND ST DEPARTMENT OF ENDODONTICS, TUFTS DENTAL SCHOOL
BOSTON MA
02111-1527
US

IV. Provider business mailing address

1 KNEELAND ST DEPARTMENT OF ENDODONTICS, TUFTS DENTAL SCHOOL
BOSTON MA
02111-1527
US

V. Phone/Fax

Practice location:
  • Phone: 617-636-6796
  • Fax:
Mailing address:
  • Phone: 617-636-6796
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number20283
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: