Provider Demographics
NPI:1548355746
Name:TANOGLU, SENHARIP (DMD)
Entity type:Individual
Prefix:DR
First Name:SENHARIP
Middle Name:
Last Name:TANOGLU
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 1:101 PLEASANT STREET
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-3213
Mailing Address - Country:US
Mailing Address - Phone:508-770-0808
Mailing Address - Fax:508-754-3145
Practice Address - Street 1:101 PLEASANT STREET
Practice Address - Street 2:SUITE 208
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-3213
Practice Address - Country:US
Practice Address - Phone:508-770-0808
Practice Address - Fax:508-754-3145
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17386122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist