Provider Demographics
NPI:1588780126
Name:SZYPKO, EILEEN KAIN (DMD)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:KAIN
Last Name:SZYPKO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 HEATHER DR
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3314
Mailing Address - Country:US
Mailing Address - Phone:978-692-4770
Mailing Address - Fax:
Practice Address - Street 1:18 WESTFORD ROAD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:MA
Practice Address - Zip Code:01741
Practice Address - Country:US
Practice Address - Phone:978-369-7967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15863122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist