Provider Demographics
NPI:1124182761
Name:SAPORITO, DANIEL (DMD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:SAPORITO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 PRINCETON AVE
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:HOPEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08525-2020
Mailing Address - Country:US
Mailing Address - Phone:609-466-2886
Mailing Address - Fax:609-466-4865
Practice Address - Street 1:83 PRINCETON AVE
Practice Address - Street 2:SUITE 1C
Practice Address - City:HOPEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08525-2020
Practice Address - Country:US
Practice Address - Phone:609-466-2886
Practice Address - Fax:609-466-4865
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ121211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice