Provider Demographics
NPI:1528251824
Name:DRUKTEINIS, SAULIUS EDMUNDAS (DMD)
Entity type:Individual
Prefix:DR
First Name:SAULIUS
Middle Name:EDMUNDAS
Last Name:DRUKTEINIS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2151 NW 2ND AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7456
Mailing Address - Country:US
Mailing Address - Phone:561-226-0100
Mailing Address - Fax:
Practice Address - Street 1:2151 NW 2ND AVE STE 102
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7456
Practice Address - Country:US
Practice Address - Phone:561-226-0100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2007-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 178011223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics