Healthcare Provider Details
I. General information
NPI: 1255887287
Provider Name (Legal Business Name): DR. MICHAEL S. CAPARAS DMD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/30/2016
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
125 S 348TH ST STE 102
FEDERAL WAY WA
98003-7015
US
IV. Provider business mailing address
2748 MILTON WAY STE 202
MILTON WA
98354-9379
US
V. Phone/Fax
- Phone: 253-927-5501
- Fax:
- Phone: 253-927-5501
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | DE60535842 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHAEL
S
CAPARAS
Title or Position: DENTIST/OWNER
Credential:
Phone: 206-946-6471