Provider Demographics
NPI:1972504678
Name:PAPPENFUS, JAMES MICHAEL (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:PAPPENFUS
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 1:3649 RANCHFORD CT.
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520
Mailing Address - Country:US
Mailing Address - Phone:925-687-6569
Mailing Address - Fax:925-427-3091
Practice Address - Street 1:130 E LELAND RD
Practice Address - Street 2:SUITE D
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-4983
Practice Address - Country:US
Practice Address - Phone:925-432-2995
Practice Address - Fax:925-427-3091
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-03
Last Update Date:2011-07-25
Deactivation Date:2006-03-25
Deactivation Code:
Reactivation Date:2006-04-13
Provider Licenses
StateLicense IDTaxonomies
CA232281223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice