Provider Demographics
NPI:1205096732
Name:DAPKUTE, INGRIDA (DMD)
Entity type:Individual
Prefix:DR
First Name:INGRIDA
Middle Name:
Last Name:DAPKUTE
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:438 MAINCENTRE
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48167-1565
Mailing Address - Country:US
Mailing Address - Phone:267-902-9644
Mailing Address - Fax:
Practice Address - Street 1:45TH AVENUE AT PARSONS BOULEVARD
Practice Address - Street 2:FLUSHING HOSPITAL MEDICAL CENTER
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-670-5521
Practice Address - Fax:718-670-8862
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI29010197611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice