Provider Demographics
NPI:1134644842
Name:SAPIGAO, JAYJAY (DMD)
Entity Type:Individual
Prefix:DR
First Name:JAYJAY
Middle Name:
Last Name:SAPIGAO
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 1:31280 BOB HOPE DR STE 102
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92276-1105
Mailing Address - Country:US
Mailing Address - Phone:760-422-3888
Mailing Address - Fax:760-422-3889
Practice Address - Street 1:31280 BOB HOPE DR STE 102
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92276-1105
Practice Address - Country:US
Practice Address - Phone:760-422-3888
Practice Address - Fax:760-422-3889
Is Sole Proprietor?:No
Enumeration Date:2017-08-03
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101797122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice