Individual
DR. JOHN MICHAEL CAPOGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1129 B NORTH BROADWAY, NORTH MASSAPEQUA, NY 11758
(516) 752-9060
(516) 752-1432
Mailing address
1129 B NORTH BROADWAY, NORTH MASSAPEQUA, NY 11758
(516) 752-9060
(516) 752-1432
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
039309-1
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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