Active NPIIndividual provider

Dr. Peter A Capodilupo Jr., DMD

Dentist, General Practice in Everett, Massachusetts

NPI Number1215072574
Practice location
563 Broadway, Suite 21, Everett, MA 02149
Fax
—
Last updated
July 8, 2007

Peter A Capodilupo is a Dentist, General Practice based in Everett, MA. Peter A Capodilupo practices in Everett, MA and has the professional credentials of DMD. The NPI Number for Peter A Capodilupo is 1215072574 and holds a License No. JR20327 (MA). The current practice location address for Peter A Capodilupo is 563 Broadway, Suite 21, Everett, MA 02149 and can be reached out via phone at 617-389-4646.

Provider Profile Details

NPI Number
1215072574
Provider Name
Peter A Capodilupo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
563 Broadway, Suite 21, Everett, MA 02149
Phone Number
617-389-4646
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
February 21, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
563 Broadway
Suite 21
Everett, MA 02149
Zip
02149
Phone Number
617-389-4646
Everett, MA 02149Get directions →

Provider Business Mailing Address Details

Address
563 Broadway
Suite 21
Everett, MA 02149
City
Everett
State
MA
Zip
02149
Phone Number
617-389-4646
Fax Number
617-389-4657

License Information

License Number
JR20327
License State
MA
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Peter A Capodilupo Jr., DMD?

The NPI number of Dr. Peter A Capodilupo Jr., DMD is 1215072574. It was assigned on February 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Peter A Capodilupo Jr., DMD?

Dr. Peter A Capodilupo Jr., DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number JR20327.

Where does Dr. Peter A Capodilupo Jr., DMD practice?

The practice location is 563 Broadway, Suite 21, Everett, MA 02149. The office can be reached at 617-389-4646 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215072574 directly on the NPPES registry website.

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