Provider Demographics
NPI:1033316971
Name:LAPINE, DONALD PHILIP
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:PHILIP
Last Name:LAPINE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 RIVER RENAISSANCE
Mailing Address - Street 2:
Mailing Address - City:EAST RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07073-1625
Mailing Address - Country:US
Mailing Address - Phone:201-317-0888
Mailing Address - Fax:
Practice Address - Street 1:580 S LIVINGSTON AVE
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5411
Practice Address - Country:US
Practice Address - Phone:973-992-3990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2020-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI0204081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice