Provider Demographics
NPI:1962585000
Name:MAKAPUGAY, EMER J (DDS)
Entity type:Individual
Prefix:
First Name:EMER
Middle Name:J
Last Name:MAKAPUGAY
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 1:5399 BRANDT PIKE
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-6106
Mailing Address - Country:US
Mailing Address - Phone:937-237-9396
Mailing Address - Fax:937-237-5393
Practice Address - Street 1:5399 BRANDT PIKE
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-6106
Practice Address - Country:US
Practice Address - Phone:937-237-9396
Practice Address - Fax:937-237-5393
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH202441223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0215645Medicaid