Provider Demographics
NPI:1134432735
Name:RAPPOLD, KRISTOPHER PAUL (DDS)
Entity type:Individual
Prefix:DR
First Name:KRISTOPHER
Middle Name:PAUL
Last Name:RAPPOLD
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 1:1721 PENISTON ST
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-4630
Mailing Address - Country:US
Mailing Address - Phone:504-462-7791
Mailing Address - Fax:504-941-7825
Practice Address - Street 1:6120 MAGAZINE ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-5826
Practice Address - Country:US
Practice Address - Phone:504-891-7471
Practice Address - Fax:504-891-8919
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-23
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA60501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice