Provider Demographics
NPI:1548242415
Name:SAPER, CLIFFORD DAVID (DDS)
Entity Type:Individual
Prefix:DR
First Name:CLIFFORD
Middle Name:DAVID
Last Name:SAPER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:CLIFFORD
Other - Middle Name:D
Other - Last Name:SAPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:1644 E 14TH ST
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1104
Mailing Address - Country:US
Mailing Address - Phone:718-241-0404
Mailing Address - Fax:
Practice Address - Street 1:1860 AVOCADO DR
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-7658
Practice Address - Country:US
Practice Address - Phone:718-241-0404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-16
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04685511223X0400X
CA374961223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics