Provider Demographics
NPI:1932313806
Name:PAPPAS, DESPINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:DESPINA
Middle Name:
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21541 23RD RD
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-2227
Mailing Address - Country:US
Mailing Address - Phone:718-224-0443
Mailing Address - Fax:718-224-0443
Practice Address - Street 1:21541 23RD RD
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11360-2227
Practice Address - Country:US
Practice Address - Phone:718-224-0443
Practice Address - Fax:718-224-0443
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0330351223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry