Individual
DR. KAPIL THACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
449 S 1ST ST, EVANSVILLE, WI 53536-1394
(608) 882-4338
Mailing address
5124 CENTRAL PARK PL APT 242, FITCHBURG, WI 53711-9319
(630) 347-4752
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001046-15
WI
Other
Enumeration date
07/28/2022
Last updated
04/01/2026
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