Individual
DR. MICHAEL CHASE CAPPELLUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
82ND PKWY AND N KINGS HWY, MYRTLE BEACH, SC 29572
(630) 699-1537
Mailing address
619 A S OCEAN BLVD, SURFSIDE BEACH, SC 29575
(385) 282-8746
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DGD.10158
SC
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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