Provider Demographics
NPI:1053076661
Name:TUGRABERK USUL, DMD LLC
Entity Type:Organization
Organization Name:TUGRABERK USUL, DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TUGRABERK
Authorized Official - Middle Name:
Authorized Official - Last Name:USUL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:302-423-6676
Mailing Address - Street 1:130 SIMPSON RD
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15417-9625
Mailing Address - Country:US
Mailing Address - Phone:302-423-6676
Mailing Address - Fax:
Practice Address - Street 1:399 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:PERRYOPOLIS
Practice Address - State:PA
Practice Address - Zip Code:15473-1828
Practice Address - Country:US
Practice Address - Phone:724-736-2550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2021-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty