Provider Demographics
NPI:1659479822
Name:PAPLAWSKY, PETER ALAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:ALAN
Last Name:PAPLAWSKY
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 1:654 OTTILLIA SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49507-3240
Mailing Address - Country:US
Mailing Address - Phone:616-452-1830
Mailing Address - Fax:
Practice Address - Street 1:654 OTTILLIA SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49507-3240
Practice Address - Country:US
Practice Address - Phone:616-452-1830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI104681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice