Individual
DR. MICHAEL STEVEN CAPPUCCILLI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
13 SOMERDALE SQ, SOMERDALE, NJ 08083-1345
(856) 566-6016
(856) 566-6012
Mailing address
844 N RINGGOLD ST, PHILADELPHIA, PA 19130-1943
(215) 232-2531
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
D121111
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018341
—
NJ
Enumeration date
04/19/2006
Last updated
07/08/2007
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