Provider Demographics
NPI:1407096431
Name:CUPELLI & CUPELLI, PC
Entity Type:Organization
Organization Name:CUPELLI & CUPELLI, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGOSZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-831-3373
Mailing Address - Street 1:101 DRAKE ROAD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241
Mailing Address - Country:US
Mailing Address - Phone:412-831-3373
Mailing Address - Fax:412-831-3777
Practice Address - Street 1:411 MCMURRAY RD
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-1164
Practice Address - Country:US
Practice Address - Phone:412-831-3373
Practice Address - Fax:412-831-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-04
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS023428L122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty