Provider Demographics
NPI:1902056831
Name:ORFANOS, ANGELA INCRAPERA (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:INCRAPERA
Last Name:ORFANOS
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5107 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3317
Mailing Address - Country:US
Mailing Address - Phone:832-264-2791
Mailing Address - Fax:
Practice Address - Street 1:5107 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3317
Practice Address - Country:US
Practice Address - Phone:832-264-2791
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-28
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-022818122300000X
TX22867122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist