Provider Demographics
NPI:1548351265
Name:PAPIERNIK, SERGE (DDS)
Entity type:Individual
Prefix:DR
First Name:SERGE
Middle Name:
Last Name:PAPIERNIK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9350 S DIXIE HWY STE 920
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2996
Mailing Address - Country:US
Mailing Address - Phone:305-670-5100
Mailing Address - Fax:305-670-6221
Practice Address - Street 1:9350 S DIXIE HWY STE 920
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156
Practice Address - Country:US
Practice Address - Phone:305-670-5100
Practice Address - Fax:305-670-6221
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 111401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice