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NPI 1225541204

NPI 1225541204 : CAPITOL HILL DENTAL, LLC : PROVIDENCE, RI

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General NPI Number Information
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    NPI Number           |    1225541204
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAPITOL HILL DENTAL, LLC 
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Dates
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    Enumeration Date     |    11/13/2017
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    Last Update Date     |    01/08/2026
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Provider Practice Location Address
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    Address Line         |    276 SMITH ST 
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    City                 |    PROVIDENCE
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    State                |    RI
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    Zip                  |    02908-4955
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    Country              |    US
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    Telephone            |    401-331-1846
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    29 UPDIKE AVE 
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    City                 |    NORTH KINGSTOWN
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    State                |    RI
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    Zip                  |    02852-5728
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |    DR. MICHAEL  CAPALBO 
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    Credential           |    
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    Telephone            |    401-741-7395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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