Provider Demographics
NPI:1982850400
Name:TSIMIDIS-VUKAS, KALIOPI KELLY (DDS)
Entity type:Individual
Prefix:
First Name:KALIOPI
Middle Name:KELLY
Last Name:TSIMIDIS-VUKAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KALIOPI
Other - Middle Name:KELLY
Other - Last Name:TSIMIDIS-VUKAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:19 LIMESTONE DR STE 2
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7091
Mailing Address - Country:US
Mailing Address - Phone:716-675-4828
Mailing Address - Fax:
Practice Address - Street 1:19 LIMESTONE DR STE 2
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7091
Practice Address - Country:US
Practice Address - Phone:716-675-4828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-15
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0511261223E0200X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Yes1223E0200XDental ProvidersDentistEndodontics