Provider Demographics
NPI:1295015378
Name:JOHN D. PAPADOPOULOS DDS PLLC
Entity Type:Organization
Organization Name:JOHN D. PAPADOPOULOS DDS PLLC
Other - Org Name:SCHOOLHOUSE FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-227-3577
Mailing Address - Street 1:1255 S OLD US HIGHWAY 23
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-9608
Mailing Address - Country:US
Mailing Address - Phone:810-227-3577
Mailing Address - Fax:810-227-1207
Practice Address - Street 1:1255 S OLD US HIGHWAY 23
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-9608
Practice Address - Country:US
Practice Address - Phone:810-227-3577
Practice Address - Fax:810-227-1207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-22
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty