Individual
DR. STEPHEN ROBERT JACAPRARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1379 MAIN ST, AGAWAM, MA 01001-2500
(413) 786-8177
(413) 789-1738
Mailing address
1379 MAIN ST, AGAWAM, MA 01001-2500
(413) 786-8177
(413) 789-1738
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12506
MA
1223G0001X
General Practice Dentistry
Primary
12506
MA
Other
Enumeration date
08/02/2006
Last updated
02/12/2016
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