Provider Demographics
NPI:1164738472
Name:KULAGA, EUGENE S (DDS)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:S
Last Name:KULAGA
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 1:5899 WHITFIELD AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34243-3127
Mailing Address - Country:US
Mailing Address - Phone:941-351-4468
Mailing Address - Fax:941-351-9361
Practice Address - Street 1:1297 S TAMIAMI TRAIL
Practice Address - Street 2:
Practice Address - City:OSPREY
Practice Address - State:FL
Practice Address - Zip Code:34229
Practice Address - Country:US
Practice Address - Phone:941-484-4400
Practice Address - Fax:941-218-6681
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2023-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN216471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice