Provider Demographics
NPI:1235210972
Name:YAPOR, DARIO Y (DDS)
Entity Type:Individual
Prefix:
First Name:DARIO
Middle Name:Y
Last Name:YAPOR
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 1:3825 BROADWAY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1510
Mailing Address - Country:US
Mailing Address - Phone:212-740-0262
Mailing Address - Fax:212-740-7584
Practice Address - Street 1:3825 BROADWAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1510
Practice Address - Country:US
Practice Address - Phone:212-740-0262
Practice Address - Fax:212-740-7584
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY043767-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01267761Medicaid