Provider Demographics
NPI:1689319188
Name:CONSTANTINE PIPERIS DDS PA
Entity Type:Organization
Organization Name:CONSTANTINE PIPERIS DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CONSTANTINE
Authorized Official - Middle Name:N
Authorized Official - Last Name:PIPERIS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:302-629-3008
Mailing Address - Street 1:218 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-3820
Mailing Address - Country:US
Mailing Address - Phone:302-629-3008
Mailing Address - Fax:
Practice Address - Street 1:218 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3820
Practice Address - Country:US
Practice Address - Phone:302-629-3008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-29
Last Update Date:2022-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty