Provider Demographics
NPI:1144475658
Name:LAPIN, JACQUELINE SERENE (DMD)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:SERENE
Last Name:LAPIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:103 SUPERIOR DRIVE
Mailing Address - Street 2:SPRINGLAKE DENTAL GROUP
Mailing Address - City:SPRING LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28390-9796
Mailing Address - Country:US
Mailing Address - Phone:910-497-3200
Mailing Address - Fax:910-497-0474
Practice Address - Street 1:103 SUPERIOR DRIVE
Practice Address - Street 2:SPRING LAKE DENTAL,
Practice Address - City:SPRING LAKE
Practice Address - State:NC
Practice Address - Zip Code:28390-0000
Practice Address - Country:US
Practice Address - Phone:910-497-3200
Practice Address - Fax:910-497-0474
Is Sole Proprietor?:No
Enumeration Date:2008-11-25
Last Update Date:2014-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9603122300000X
OH30-0227381223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice