Provider Demographics
NPI:1306837182
Name:PAPADOPOULOS, HARRY (DDS, MD)
Entity type:Individual
Prefix:MR
First Name:HARRY
Middle Name:
Last Name:PAPADOPOULOS
Suffix:
Gender:M
Credentials:DDS, MD
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Mailing Address - Street 1:888 SIM HODGIN PKWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374-1936
Mailing Address - Country:US
Mailing Address - Phone:765-966-7537
Mailing Address - Fax:765-966-0370
Practice Address - Street 1:888 SIM HODGIN PKWY
Practice Address - Street 2:SUITE C
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-1936
Practice Address - Country:US
Practice Address - Phone:765-966-7537
Practice Address - Fax:765-966-0370
Is Sole Proprietor?:No
Enumeration Date:2005-11-02
Last Update Date:2011-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN12010966A1223S0112X
IN01065709A204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery