Individual provider · Type 1 NPI

Nicholas Gerald Capobianco, DDS

Oral and Maxillofacial Surgery (Dentist) · Boston, MA

NPI number 1124456090 Active

Practice location

1 Kneeland St Fl 5, Dept. Of Oral And Maxillofacial Surgery
Boston, MA 02111-1527

Fax (617) 636-6809

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDN1856408 (MA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1124456090

Nicholas Gerald Capobianco, DDS's National Provider Identifier is 1124456090, issued on Oct 31, 2013. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Boston, MA. The record was last updated on Oct 31, 2013.