Individual
DR. SHANA L CAPPELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
3607 DAVIS DR, SUITE 209, MORRISVILLE, NC 27560-6004
(919) 469-2122
Mailing address
3415 ROGERS RD, SUITE 111, WAKE FOREST, NC 27587-3809
(919) 435-1775
(919) 435-0437
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9887
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3297700
—
WI
Enumeration date
06/22/2009
Last updated
03/20/2015
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