Provider Demographics
NPI:1720110919
Name:JOHN R. PAPPAS D.D.S.,M. D, & JEFFREY D. POLITZ D.D.S.
Entity type:Organization
Organization Name:JOHN R. PAPPAS D.D.S.,M. D, & JEFFREY D. POLITZ D.D.S.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPPAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MD
Authorized Official - Phone:707-255-5033
Mailing Address - Street 1:3301 VILLA LN
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3087
Mailing Address - Country:US
Mailing Address - Phone:707-255-5033
Mailing Address - Fax:707-255-1554
Practice Address - Street 1:3301 VILLA LN
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3087
Practice Address - Country:US
Practice Address - Phone:707-255-5033
Practice Address - Fax:707-255-1554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1223P0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0106XDental ProvidersDentistOral and Maxillofacial PathologyGroup - Single Specialty