Provider Demographics
NPI:1023164761
Name:TOPOROFF, DONALD MARK (DMD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:MARK
Last Name:TOPOROFF
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 1:2225 SULTANA DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-3704
Mailing Address - Country:US
Mailing Address - Phone:914-243-0154
Mailing Address - Fax:
Practice Address - Street 1:2225 SULTANA DR
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-3704
Practice Address - Country:US
Practice Address - Phone:914-243-0154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04153911223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics