Healthcare Provider Details

I. General information

NPI: 1487317152
Provider Name (Legal Business Name): DAVID TAPANI PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2021
Last Update Date: 10/19/2021
Certification Date: 10/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7550 VILLAGE CT
DAVISBURG MI
48350-2554
US

IV. Provider business mailing address

7550 VILLAGE CT
DAVISBURG MI
48350-2554
US

V. Phone/Fax

Practice location:
  • Phone: 248-634-7002
  • Fax: 248-634-9973
Mailing address:
  • Phone: 248-634-7002
  • Fax: 248-634-9973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID TAPANI
Title or Position: OWNER
Credential: DDS
Phone: 248-535-4323