# LEESVILLE DENTAL, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073462321
- **Authorized official:** DR. MICHAEL CHASE CAPPELLUCCI DMD (OWNER)
- **Authorized official phone:** (385) 282-8746

## Contact information

- **Practice address:** 139 E CHURCH ST, BATESBURG LEESVILLE, SC 29070-7595
- **Practice address phone:** (803) 532-3331
- **Mailing address:** 47 N MILL ST, LITTLE MOUNTAIN, SC 29075-8788
- **Mailing address phone:** (803) 816-0027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2026
- **Last updated:** 01/28/2026