Provider Demographics
NPI:1245236546
Name:PAPATZIMAS, PANAYOTIS (DDS)
Entity type:Individual
Prefix:DR
First Name:PANAYOTIS
Middle Name:
Last Name:PAPATZIMAS
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 1:3200 S UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-2018
Mailing Address - Country:US
Mailing Address - Phone:954-568-7709
Mailing Address - Fax:954-568-7749
Practice Address - Street 1:830 E OAKLAND PARK BLVD
Practice Address - Street 2:SUITE # 103
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-2761
Practice Address - Country:US
Practice Address - Phone:954-568-7709
Practice Address - Fax:954-568-7749
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY051131-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice