Provider Demographics
NPI:1801022082
Name:PAPPAS, ANNALYNN IMPERIAL (DDS)
Entity type:Individual
Prefix:DR
First Name:ANNALYNN
Middle Name:IMPERIAL
Last Name:PAPPAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANNALYNN
Other - Middle Name:DALAY
Other - Last Name:IMPERIAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:6841 COIT RD
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5489
Mailing Address - Country:US
Mailing Address - Phone:972-618-5000
Mailing Address - Fax:972-618-9369
Practice Address - Street 1:6841 COIT RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5489
Practice Address - Country:US
Practice Address - Phone:972-618-5000
Practice Address - Fax:972-618-9369
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice