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NPI Code Detail

MEDICARE: DR. DIMITRI PAPADOPOULOS DIMITRI PAPADOPOULOS

MEDICARE:  DR. DIMITRI  PAPADOPOULOS  DIMITRI PAPADOPOULOS
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 Dentistry050614NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932328382
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DIMITRI PAPADOPOULOS DIMITRI PAPADOPOULOS
Provider Business Mailing Address
First Line : 3161 30TH ST
Second Line :
City : ASTORIA
State : NY
Zip : 11106-2801
Country : US
Telephone Number : 718-777-3116
Fax Number :
Provider Business Practice Location Address
First Line : 2169 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10462-1405
Country : US
Telephone Number : 718-597-6314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 04/19/2008

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Directions to “ DR. DIMITRI PAPADOPOULOS DIMITRI PAPADOPOULOS” Practice Location

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