Provider Demographics
NPI:1285647867
Name:LUPINETTI, THOMAS P (DMD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:P
Last Name:LUPINETTI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4240 LOCUST LN
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-4384
Mailing Address - Country:US
Mailing Address - Phone:717-652-5257
Mailing Address - Fax:717-652-6221
Practice Address - Street 1:4240 LOCUST LN
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-4384
Practice Address - Country:US
Practice Address - Phone:717-652-5257
Practice Address - Fax:717-652-6221
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADSO25762L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice