Individual provider · Type 1 NPI

Mario Joseph Capuano, DDS

Oral and Maxillofacial Surgery (Dentist) · Selden, NY

NPI number 1831199694 Active

Practice location

260 Middle Country Rd, Bldg 2 Suite 12
Selden, NY 11784-2568

Fax (631) 696-5096

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112X045939 (NY)

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 1831199694

Mario Joseph Capuano, DDS's National Provider Identifier is 1831199694, issued on Jul 22, 2005. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Selden, NY. The record was last updated on Nov 11, 2009.