Provider Demographics
NPI:1609131937
Name:SOPRANI, ADAURI JOSE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ADAURI
Middle Name:JOSE
Last Name:SOPRANI
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 1:26 BELDEN AVE UNIT 2314
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-3388
Mailing Address - Country:US
Mailing Address - Phone:203-219-9627
Mailing Address - Fax:
Practice Address - Street 1:155 MAIN ST STE 400
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7844
Practice Address - Country:US
Practice Address - Phone:203-587-7999
Practice Address - Fax:203-826-9538
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-12
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT10801122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist