Provider Demographics
NPI:1053495853
Name:CAPARAS, MICHAEL S (DMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:S
Last Name:CAPARAS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20011 BALLINGER WAY NE
Mailing Address - Street 2:SUITE B100
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-1286
Mailing Address - Country:US
Mailing Address - Phone:206-946-6471
Mailing Address - Fax:206-946-6473
Practice Address - Street 1:20011 BALLINGER WAY NE
Practice Address - Street 2:SUITE B100
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-1286
Practice Address - Country:US
Practice Address - Phone:206-946-6471
Practice Address - Fax:206-946-6473
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZD011709122300000X
WA605358421223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist