Provider Demographics
NPI:1992765176
Name:CHOPYK, MICHAEL G (DMD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:G
Last Name:CHOPYK
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 LUPUS LN
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2161
Mailing Address - Country:US
Mailing Address - Phone:856-582-9122
Mailing Address - Fax:856-582-9122
Practice Address - Street 1:82 LUPUS LN
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2161
Practice Address - Country:US
Practice Address - Phone:856-582-9122
Practice Address - Fax:856-582-9122
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI01311600122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist