Basic Information
| Provider Information | |||||||||
| NPI: | 1003121880 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KIRPEKAR | ||||||||
| FirstName: | KAPIL | ||||||||
| MiddleName: | DEEPAK | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | DDS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 E ALGONQUIN RD | ||||||||
| Address2: | SUITE 109 | ||||||||
| City: | SCHAUMBURG | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601734189 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8889884066 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 6914 FM 78 | ||||||||
| Address2: | SUITE 108 | ||||||||
| City: | SAN ANTONIO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 782441771 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8889884066 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/17/2010 | ||||||||
| LastUpdateDate: | 08/17/2010 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1223G0001X | 25869 | TX | Y | Dental Providers | Dentist | General Practice | 1223G0001X | 59448 | CA | N | Dental Providers | Dentist | General Practice |
No ID Information.