Provider Demographics
NPI:1366542136
Name:CLAPS, VINCENT MICHAEL
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:MICHAEL
Last Name:CLAPS
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:VINCENT
Other - Middle Name:MICHAEL
Other - Last Name:CLAPS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:450 SNUG HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:GREENPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11944-2520
Mailing Address - Country:US
Mailing Address - Phone:631-477-0110
Mailing Address - Fax:
Practice Address - Street 1:44655 COUNTY ROAD 48
Practice Address - Street 2:
Practice Address - City:SOUTHOLD
Practice Address - State:NY
Practice Address - Zip Code:11971-5019
Practice Address - Country:US
Practice Address - Phone:631-765-1262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035118122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist