Provider Demographics
NPI:1770925554
Name:CZAPERACKER, CYNTHIA HELEN (DMD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:HELEN
Last Name:CZAPERACKER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:CYNTHIA
Other - Middle Name:HELEN
Other - Last Name:CZAPLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:2525 W RIVER RD
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-2052
Mailing Address - Country:US
Mailing Address - Phone:716-830-9706
Mailing Address - Fax:
Practice Address - Street 1:125 GRAND ISLAND BLVD
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-6603
Practice Address - Country:US
Practice Address - Phone:716-695-3636
Practice Address - Fax:716-264-4160
Is Sole Proprietor?:No
Enumeration Date:2013-07-22
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.030021122300000X
NY058857-011223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No122300000XDental ProvidersDentist