Provider Demographics
NPI:1528080074
Name:SAPIA, JOSE (DMD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:
Last Name:SAPIA
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:PO BOX 337
Mailing Address - Street 2:
Mailing Address - City:SAGAMORE BEACH
Mailing Address - State:MA
Mailing Address - Zip Code:02562-0337
Mailing Address - Country:US
Mailing Address - Phone:508-888-6400
Mailing Address - Fax:508-888-6671
Practice Address - Street 1:180 STATE RD
Practice Address - Street 2:
Practice Address - City:SAGAMORE BEACH
Practice Address - State:MA
Practice Address - Zip Code:02562-2362
Practice Address - Country:US
Practice Address - Phone:508-888-6400
Practice Address - Fax:508-888-6671
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA192901223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health