Provider Demographics
NPI:1255766994
Name:KYPRIOTAKIS, ALETHEA P (DMD)
Entity type:Individual
Prefix:DR
First Name:ALETHEA
Middle Name:P
Last Name:KYPRIOTAKIS
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 1:6732 HIGHWAY 6 S
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-1528
Mailing Address - Country:US
Mailing Address - Phone:281-498-2929
Mailing Address - Fax:
Practice Address - Street 1:6732 HIGHWAY 6 S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-1528
Practice Address - Country:US
Practice Address - Phone:281-498-2929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX293451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice