Provider Demographics
NPI:1952834418
Name:BAKIRI, ELEONORA (DDS)
Entity Type:Individual
Prefix:
First Name:ELEONORA
Middle Name:
Last Name:BAKIRI
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 1:1395 CENTER DR
Mailing Address - Street 2:ROOM D10-37
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-3006
Mailing Address - Country:US
Mailing Address - Phone:352-294-8733
Mailing Address - Fax:352-273-5446
Practice Address - Street 1:1395 CENTER DR
Practice Address - Street 2:ROOM D10-37
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-3006
Practice Address - Country:US
Practice Address - Phone:352-294-8733
Practice Address - Fax:352-273-5446
Is Sole Proprietor?:No
Enumeration Date:2017-04-11
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6541223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL654OtherFLORIDA TEACHING PERMIT