Healthcare Provider Details

I. General information

NPI: 1528604949
Provider Name (Legal Business Name): PAUL V. CAPUTO SR., D.D.S., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2019
Last Update Date: 11/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3155 BOOK RD STE. 107
NAPERVILLE IL
60564
US

IV. Provider business mailing address

3155 BOOK RD STE. 107
NAPERVILLE IL
60564
US

V. Phone/Fax

Practice location:
  • Phone: 630-922-1311
  • Fax: 630-922-4212
Mailing address:
  • Phone: 630-922-1311
  • Fax: 630-922-4212

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: MR. PAUL V CAPUTO SR.
Title or Position: DENTIST
Credential: D.D.S., P.C.
Phone: 630-922-1311