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NPI Code Detail

MEDICARE: DR. PANTELLIS ALEX PAPAFOTIS DDS

MEDICARE: DR. PANTELLIS ALEX PAPAFOTIS DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry7459KY
21223G0001XGeneral Practice Dentistry6001MD

General Provider Information

NPI Number : 1336117803
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PANTELLIS ALEX PAPAFOTIS DDS
Provider Business Mailing Address
First Line : 4441 SERVICE4 DRIVE
Second Line : HQS, USA DENTAC
City : FT HOOD
State : TX
Zip : 76544-5054
Country : US
Telephone Number : 254-287-2705
Fax Number : 254-287-1786
Provider Business Practice Location Address
First Line : 4441 SERVICE DRIVE
Second Line : HQS, USA DENTAC
City : FT HOOD
State : TX
Zip : 76544-5054
Country : US
Telephone Number : 254-287-2705
Fax Number : 254-287-1786
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2006
Last Update Date : 09/11/2025

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Practice Location Address:
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Practice Fax: 254-287-1786

Directions to “ DR. PANTELLIS ALEX PAPAFOTIS DDS” Practice Location

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