Provider Demographics
NPI:1649473588
Name:RAPPACCIOLI, COTY (DMD)
Entity type:Individual
Prefix:DR
First Name:COTY
Middle Name:
Last Name:RAPPACCIOLI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13713 W SUNRISE BLVD STE 205
Mailing Address - Street 2:STE 205
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323
Mailing Address - Country:US
Mailing Address - Phone:954-251-4849
Mailing Address - Fax:954-251-0870
Practice Address - Street 1:13713 W SUNRISE BLVD
Practice Address - Street 2:STE 205
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33323-3213
Practice Address - Country:US
Practice Address - Phone:954-251-4849
Practice Address - Fax:954-251-0870
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-07
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN15733122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist