Provider Demographics
NPI:1316060312
Name:PAPADATOS, SPIRO (DMD)
Entity type:Individual
Prefix:DR
First Name:SPIRO
Middle Name:
Last Name:PAPADATOS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:273A MONMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-4006
Mailing Address - Country:US
Mailing Address - Phone:201-435-7700
Mailing Address - Fax:201-435-1171
Practice Address - Street 1:273A MONMOUTH ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-4006
Practice Address - Country:US
Practice Address - Phone:201-435-7700
Practice Address - Fax:201-435-1171
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI191341223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice