Provider Demographics
NPI:1205051935
Name:POPE, JANET LEE (DDS)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:LEE
Last Name:POPE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:LEE
Other - Last Name:POPE-SCHUMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:6878 ERIE ROAD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:DERBY
Mailing Address - State:NY
Mailing Address - Zip Code:14047-9508
Mailing Address - Country:US
Mailing Address - Phone:716-947-4652
Mailing Address - Fax:716-947-5758
Practice Address - Street 1:6878 ERIE ROAD
Practice Address - Street 2:SUITE 5
Practice Address - City:DERBY
Practice Address - State:NY
Practice Address - Zip Code:14047-9508
Practice Address - Country:US
Practice Address - Phone:716-947-4652
Practice Address - Fax:716-947-5758
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033001122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist