Provider Demographics
NPI:1023227964
Name:LAPA, EDWARD BRIAN (DDS)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:BRIAN
Last Name:LAPA
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 1:2832 AVIS CT
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-3001
Mailing Address - Country:US
Mailing Address - Phone:914-245-6388
Mailing Address - Fax:
Practice Address - Street 1:2117 CROMPOND RD
Practice Address - Street 2:SUITE 21
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-4316
Practice Address - Country:US
Practice Address - Phone:914-739-2626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0419301223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice