Healthcare Provider Details

I. General information

NPI: 1508798430
Provider Name (Legal Business Name): DANE JORGEN CAPENER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 ROCKWOOD RD # 2
ARDEN NC
28704-8514
US

IV. Provider business mailing address

351 ROCKWOOD RD # 2
ARDEN NC
28704-8514
US

V. Phone/Fax

Practice location:
  • Phone: 828-900-9488
  • Fax:
Mailing address:
  • Phone: 828-900-9488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number14670
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: