Provider Demographics
NPI:1528145489
Name:CUPELLI, KRISTY G (DR)
Entity type:Individual
Prefix:DR
First Name:KRISTY
Middle Name:G
Last Name:CUPELLI
Suffix:
Gender:F
Credentials:DR
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Mailing Address - Street 1:101 DRAKE ROAD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241
Mailing Address - Country:US
Mailing Address - Phone:412-831-3373
Mailing Address - Fax:412-831-3777
Practice Address - Street 1:411 MCMURRAY RD
Practice Address - Street 2:SUITE 102
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-1164
Practice Address - Country:US
Practice Address - Phone:412-831-3373
Practice Address - Fax:412-831-3777
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2013-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PADS023428L1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry