Provider Demographics
NPI:1295886679
Name:POPIEL, LOUIS KIVA (DDS)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:KIVA
Last Name:POPIEL
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 1:15124 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-3228
Mailing Address - Country:US
Mailing Address - Phone:305-386-6300
Mailing Address - Fax:305-386-2545
Practice Address - Street 1:15124 SUNSET DR
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33193-3228
Practice Address - Country:US
Practice Address - Phone:305-386-6300
Practice Address - Fax:305-386-2545
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL87381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice