Provider Demographics
NPI:1164407342
Name:KAPINOS, FREDERICK J (DDS)
Entity Type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:J
Last Name:KAPINOS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:661 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01013-3146
Mailing Address - Country:US
Mailing Address - Phone:413-592-0080
Mailing Address - Fax:413-592-3952
Practice Address - Street 1:661 FRONT ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01013-3146
Practice Address - Country:US
Practice Address - Phone:413-592-0080
Practice Address - Fax:413-592-3952
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15152122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist