Individual
DR. BROOKE KUPERAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5502 HAMILTON BLVD, ALLENTOWN, PA 18106-9774
(610) 351-2200
(610) 351-2202
Mailing address
2397 SILVANO DR, MACUNGIE, PA 18062-8659
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041645
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS041645
STATE LICENSE
PA
Enumeration date
05/02/2018
Last updated
08/27/2025
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