Healthcare Provider Details

I. General information

NPI: 1548587637
Provider Name (Legal Business Name): IBRAHIM ALPDOGAN KANTARCI DDS, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF MINNESOTA SCHOOL OF DENTISTRY 515 DELAWARE STREET MOOS TOWER 7-194
MINNEAPOLIS MN
55455-0000
US

IV. Provider business mailing address

521 2ND ST SE APT 206
MINNEAPOLIS MN
55414-2293
US

V. Phone/Fax

Practice location:
  • Phone: 617-306-3070
  • Fax:
Mailing address:
  • Phone: 617-306-3070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License NumberDL10726
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: