Dr. Nicholas Gerald Capobianco, D.D.S.
Dentist, Oral and Maxillofacial Surgery in Boston, MA. Individual provider (NPI-1).
NPI number1124456090
StatusActive
Last updated in NPPESOct 31, 2013
Details
- NPI
- 1124456090
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nicholas Gerald Capobianco
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 31, 2013
- Last updated
- Oct 31, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223S0112X | Dentist, Oral and Maxillofacial Surgery | DN1856408 | MA | Yes |
Practice location
1 Kneeland St Fl 5Dept. Of Oral And Maxillofacial Surgery
Boston, MA 02111-1527
Phone 617-636-6515 · Fax 617-636-6809
Mailing address
1 Kneeland St Fl 5Dept. Of Oral And Maxillofacial Surgery
Boston, MA 02111-1527
Phone 617-636-6515 · Fax 617-636-6809
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