MEDICARE: DR. FREDERICK J KAPINOS DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	15152	MA

General Provider Information

NPI Number	:	1164407342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FREDERICK J KAPINOS DDS

Provider Business Mailing Address
First Line	:	661 FRONT ST
Second Line	:
City	:	CHICOPEE
State	:	MA
Zip	:	01013-3146
Country	:	US
Telephone Number	:	413-592-0080
Fax Number	:	413-592-3952

Provider Business Practice Location Address
First Line	:	661 FRONT ST
Second Line	:
City	:	CHICOPEE
State	:	MA
Zip	:	01013-3146
Country	:	US
Telephone Number	:	413-592-0080
Fax Number	:	413-592-3952

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2005
Last Update Date	:	07/08/2007

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