Provider Demographics
NPI:1992785828
Name:KULPA & KULPA DDS
Entity type:Organization
Organization Name:KULPA & KULPA DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KULPA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:586-752-6596
Mailing Address - Street 1:64845 VANDYKE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:48095
Mailing Address - Country:US
Mailing Address - Phone:586-752-6596
Mailing Address - Fax:586-752-5471
Practice Address - Street 1:64845 VANDYKE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MI
Practice Address - Zip Code:48095
Practice Address - Country:US
Practice Address - Phone:586-752-6596
Practice Address - Fax:586-752-5471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901010615122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty