Provider Demographics
NPI:1215545322
Name:CUPO, DAVID AARON
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:AARON
Last Name:CUPO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 ARTHUR GODFREY RD STE 400
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-3347
Mailing Address - Country:US
Mailing Address - Phone:305-914-2876
Mailing Address - Fax:
Practice Address - Street 1:960 ARTHUR GODFREY RD STE 400
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33140-3347
Practice Address - Country:US
Practice Address - Phone:305-914-2876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-15
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02804700122300000X
FLDN24969122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist