Healthcare Provider Details

I. General information

NPI: 1891592986
Provider Name (Legal Business Name): BENJAMIN CAPLE DDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2025
Last Update Date: 02/26/2025
Certification Date: 02/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 MCBRAYER HOMESTEAD RD
SHELBY NC
28152-9536
US

IV. Provider business mailing address

613 MCBRAYER HOMESTEAD RD
SHELBY NC
28152-9536
US

V. Phone/Fax

Practice location:
  • Phone: 704-434-4876
  • Fax:
Mailing address:
  • Phone: 704-434-4876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: CHAD HENDRICKS HENDRICKS
Title or Position: CREDENTIALING
Credential:
Phone: 612-859-0444