Provider Demographics
NPI:1912116435
Name:ATTIPOE, QUINCY (DDS)
Entity type:Individual
Prefix:DR
First Name:QUINCY
Middle Name:
Last Name:ATTIPOE
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 1:824 HUNTERS GLN
Mailing Address - Street 2:
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094-4375
Mailing Address - Country:US
Mailing Address - Phone:972-429-7264
Mailing Address - Fax:
Practice Address - Street 1:824 HUNTERS GLN
Practice Address - Street 2:
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094-4375
Practice Address - Country:US
Practice Address - Phone:972-429-7264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX232461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice