Provider Demographics
NPI:1356451272
Name:NAPENAS, JOSE-HERICK T (DDS)
Entity type:Individual
Prefix:DR
First Name:JOSE-HERICK
Middle Name:T
Last Name:NAPENAS
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 1:3030 HEADLAND DR SW
Mailing Address - Street 2:STE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30311-5439
Mailing Address - Country:US
Mailing Address - Phone:404-344-8778
Mailing Address - Fax:
Practice Address - Street 1:3030 HEADLAND DR SW
Practice Address - Street 2:STE 300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-5439
Practice Address - Country:US
Practice Address - Phone:404-344-8778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN0129011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice