# A CAPPELLA DENTAL, PC

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

## Provider details

- **NPI number:** 1336543990
- **Authorized official:** DR. THOMAS C. SALON D.D.S. (OWNER/CEO/DENTIST)
- **Authorized official phone:** (231) 943-2900

## Contact information

- **Practice address:** 1061 E FRONT ST, TRAVERSE CITY, MI 49686-2707
- **Practice address phone:** (231) 943-2900
- **Mailing address:** 1061 E FRONT ST, TRAVERSE CITY, MI 49686-2707
- **Mailing address phone:** (231) 943-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901016153 | MI | Yes |

## Other

- **Enumeration date:** 10/10/2014
- **Last updated:** 03/18/2015