Provider Demographics
NPI:1639587157
Name:SPRINGS, PAUL (DMD)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:
Last Name:SPRINGS
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 1:4701 QUEENS BLVD STE 407
Mailing Address - Street 2:SUITE 407
Mailing Address - City:SUNNYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11104-1623
Mailing Address - Country:US
Mailing Address - Phone:718-937-6750
Mailing Address - Fax:718-937-1830
Practice Address - Street 1:4701 QUEENS BLVD STE 407
Practice Address - Street 2:SUITE 407
Practice Address - City:SUNNYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11104-1623
Practice Address - Country:US
Practice Address - Phone:718-937-6750
Practice Address - Fax:718-937-1830
Is Sole Proprietor?:No
Enumeration Date:2014-07-28
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY50 057399122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist