Provider Demographics
NPI:1316134117
Name:PAPPAS, JOHN G (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:G
Last Name:PAPPAS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:43200 DEQUINDRE RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-1707
Mailing Address - Country:US
Mailing Address - Phone:586-731-1999
Mailing Address - Fax:586-731-3233
Practice Address - Street 1:43200 DEQUINDRE RD
Practice Address - Street 2:SUITE 107
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-1707
Practice Address - Country:US
Practice Address - Phone:586-731-1999
Practice Address - Fax:586-731-3233
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI142651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice