Provider Demographics
NPI:1235290123
Name:PAPPERT, LORI (DMD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:
Last Name:PAPPERT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4525 PARK RD
Mailing Address - Street 2:B102
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-3723
Mailing Address - Country:US
Mailing Address - Phone:704-523-4515
Mailing Address - Fax:704-523-4006
Practice Address - Street 1:4525 PARK RD
Practice Address - Street 2:B102
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-3723
Practice Address - Country:US
Practice Address - Phone:704-523-4515
Practice Address - Fax:704-523-4006
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6166122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist