Individual
LEWIS ANTHONY CAPUTA, JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1409 KINGSLEY AVE, BUILDING 5, ORANGE PARK, FL 32073-4537
(904) 264-7383
(904) 264-7889
Mailing address
1409 KINGSLEY AVE, BUILDING 5, ORANGE PARK, FL 32073-4537
(904) 264-7383
(904) 264-7889
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DN 8125
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DN 8125
FL
Other
Enumeration date
12/31/2006
Last updated
09/11/2025
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