Provider Demographics
NPI:1407076953
Name:DARRIN CUPO DMD PA
Entity Type:Organization
Organization Name:DARRIN CUPO DMD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:DARRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CUPO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:954-346-8108
Mailing Address - Street 1:1670 N UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071
Mailing Address - Country:US
Mailing Address - Phone:954-346-8108
Mailing Address - Fax:954-346-0057
Practice Address - Street 1:1670 N UNIVERSITY DRIVE
Practice Address - Street 2:SUITE B
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071
Practice Address - Country:US
Practice Address - Phone:954-346-8108
Practice Address - Fax:954-346-0057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-26
Last Update Date:2007-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL130061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty