Cappuccilli, Michael Steven

Cappuccilli, Michael Steven is an individual health care provider with primary practice located at 13 Somerdale Sq , Somerdale NJ 08083-1345. He recently has only one registered license in Dental Providers / Dental Public Health, which is considered as his primary health care specialty. Cappuccilli, Michael Steven can be contacted via phone (856) 566-6016.

Contact Information

Primary practice address
13 Somerdale Sq Somerdale NJ 08083-1345
Fax: (856) 566-6012
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X D121111 New Jersey

Profile Details

NPI number 1467417659
LBN Legal business name Cappuccilli, Michael Steven
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467417659 NPPES
New Jersey MEDICAID 0018341

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