Provider Demographics
NPI:1184793994
Name:DRS. TOULOUPAS&TOULOUPAS,DDS,PA
Entity type:Organization
Organization Name:DRS. TOULOUPAS&TOULOUPAS,DDS,PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:TOULOUPAS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:336-226-5485
Mailing Address - Street 1:1628 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-3592
Mailing Address - Country:US
Mailing Address - Phone:336-226-5485
Mailing Address - Fax:336-226-5435
Practice Address - Street 1:1628 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-3592
Practice Address - Country:US
Practice Address - Phone:336-226-5485
Practice Address - Fax:336-226-5435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty