Provider Demographics
NPI:1164717732
Name:CAPUTO, FRANK A (DDS)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:A
Last Name:CAPUTO
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 1:1422 24TH ST
Mailing Address - Street 2:APT 10
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53140-1811
Mailing Address - Country:US
Mailing Address - Phone:262-960-1934
Mailing Address - Fax:
Practice Address - Street 1:6217 S PACKARD AVE
Practice Address - Street 2:
Practice Address - City:CUDAHY
Practice Address - State:WI
Practice Address - Zip Code:53110-3089
Practice Address - Country:US
Practice Address - Phone:414-764-5550
Practice Address - Fax:414-764-9198
Is Sole Proprietor?:No
Enumeration Date:2011-06-12
Last Update Date:2011-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6703-0151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice