Provider Demographics
NPI:1033518485
Name:CAPRA, SHANA H (DDS)
Entity Type:Individual
Prefix:DR
First Name:SHANA
Middle Name:H
Last Name:CAPRA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15065 S STATE ROAD 7 STE 650
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33446-4110
Mailing Address - Country:US
Mailing Address - Phone:561-840-5437
Mailing Address - Fax:561-840-1042
Practice Address - Street 1:15065 S STATE ROAD 7 STE 650
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-4110
Practice Address - Country:US
Practice Address - Phone:561-840-5437
Practice Address - Fax:561-840-1042
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-21
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN209101223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL013292400Medicaid