Provider Demographics
NPI:1518262773
Name:KAPLAN, STANLEY M (DDS)
Entity Type:Individual
Prefix:
First Name:STANLEY
Middle Name:M
Last Name:KAPLAN
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 1:600 E. GENESEE ST.
Mailing Address - Street 2:SUITE 113
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202
Mailing Address - Country:US
Mailing Address - Phone:315-476-7406
Mailing Address - Fax:315-476-7408
Practice Address - Street 1:600 E. GENESEE ST.
Practice Address - Street 2:SUITE 113
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202
Practice Address - Country:US
Practice Address - Phone:315-476-7406
Practice Address - Fax:315-476-7408
Is Sole Proprietor?:No
Enumeration Date:2011-01-20
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0269931223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics