Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 9269 | TN |
NPI | 1124144423 |
---|---|
Provider Name | Dr. Gregory Joseph Paprocki |
First Address | Memphis, TN 38104 |
Second Address | Memphis, TN 38104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2007 |
Last Update Date | 16/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
33468000 | (02) | |
33468000 | (05) | WI |