Individual
ALEXIS B CAPECI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2915 E SOUTHLAKE BLVD STE 200, SOUTHLAKE, TX 76092
(817) 488-3533
Mailing address
2728 MCKINNON ST APT 405, DALLAS, TX 75201-1634
(513) 543-1523
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30025257
OH
1223P0221X
Pediatric Dentistry
Primary
30025257
OH
1223P0221X
Pediatric Dentistry
34834
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0276130
—
OH
Enumeration date
02/07/2017
Last updated
10/25/2019
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