Provider Demographics
NPI:1760608079
Name:CUPO, DARRIN (DMD PA)
Entity Type:Individual
Prefix:DR
First Name:DARRIN
Middle Name:
Last Name:CUPO
Suffix:
Gender:M
Credentials:DMD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL130061223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics