Provider Demographics
NPI:1699980524
Name:ISTANBULLU, TAYFUN (DDS)
Entity type:Individual
Prefix:DR
First Name:TAYFUN
Middle Name:
Last Name:ISTANBULLU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:DANVERS
Mailing Address - State:MA
Mailing Address - Zip Code:01923-2501
Mailing Address - Country:US
Mailing Address - Phone:978-777-7170
Mailing Address - Fax:978-777-7610
Practice Address - Street 1:9 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:DANVERS
Practice Address - State:MA
Practice Address - Zip Code:01923-2501
Practice Address - Country:US
Practice Address - Phone:978-777-7170
Practice Address - Fax:978-777-7610
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA195951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice