Provider Demographics
NPI:1104029966
Name:LAPPINGA, KRISTY ELIZABETH (DDS)
Entity Type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:ELIZABETH
Last Name:LAPPINGA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55964-1256
Mailing Address - Country:US
Mailing Address - Phone:507-534-3127
Mailing Address - Fax:
Practice Address - Street 1:338 W BROADWAY
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:MN
Practice Address - Zip Code:55964-1256
Practice Address - Country:US
Practice Address - Phone:507-534-3127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12422122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist