Provider Demographics
NPI:1316132038
Name:TAPIRDEA, EUGEN STEFAN (DMD)
Entity type:Individual
Prefix:
First Name:EUGEN
Middle Name:STEFAN
Last Name:TAPIRDEA
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 1:4300 HYLAN BLV
Mailing Address - Street 2:
Mailing Address - City:ST ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312
Mailing Address - Country:US
Mailing Address - Phone:718-356-4211
Mailing Address - Fax:718-356-4212
Practice Address - Street 1:4300 HYLAN BLV
Practice Address - Street 2:
Practice Address - City:ST ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312
Practice Address - Country:US
Practice Address - Phone:718-356-4211
Practice Address - Fax:718-356-4212
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0363081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice