Provider Demographics
NPI:1972727303
Name:KURPIS, ALBERT (DDS)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:KURPIS
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 1:545 ROUTE 17 SOUTH
Mailing Address - Street 2:SUITE #2007
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450
Mailing Address - Country:US
Mailing Address - Phone:201-447-9700
Mailing Address - Fax:201-447-4099
Practice Address - Street 1:545 ROUTE 17 SOUTH
Practice Address - Street 2:SUITE #2007
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450
Practice Address - Country:US
Practice Address - Phone:201-447-9700
Practice Address - Fax:201-447-4099
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2017-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDIO15362122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist