Provider Demographics
NPI:1417172784
Name:CAPRETTA, NINA (DMD)
Entity Type:Individual
Prefix:DR
First Name:NINA
Middle Name:
Last Name:CAPRETTA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:NINA
Other - Middle Name:
Other - Last Name:CARPRETTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:351 MANVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570-2152
Mailing Address - Country:US
Mailing Address - Phone:914-769-1255
Mailing Address - Fax:
Practice Address - Street 1:351 MANVILLE RD
Practice Address - Street 2:
Practice Address - City:PLEASANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570-2152
Practice Address - Country:US
Practice Address - Phone:914-769-1255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0501061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice