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NPI Code Detail

MEDICARE: DIANNE S. CAPRIO D.D.S.

MEDICARE: DIANNE S. CAPRIO D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist0401413908VA
2122300000XDentist36002CA
3122300000XDentistMO2009037198MO
4122300000XDentist9941NC
5122300000XDentistDEN1001321DC

General Provider Information

NPI Number : 1740332022
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNE S. CAPRIO D.D.S.
Provider Business Mailing Address
First Line : 1161 N ROAD ST
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-3388
Country : US
Telephone Number : 831-277-6587
Fax Number :
Provider Business Practice Location Address
First Line : 1161 N ROAD ST
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-3388
Country : US
Telephone Number : 831-277-6587
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 06/14/2015

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