Provider Demographics
NPI:1457476566
Name:CAPUTO, CHRISTOPHER JUDE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JUDE
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 1:33A GAMECOCK AVE
Mailing Address - Street 2:PERIODONTAL ASSOCIATES, PA
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3369
Mailing Address - Country:US
Mailing Address - Phone:843-571-0853
Mailing Address - Fax:843-769-7342
Practice Address - Street 1:33A GAMECOCK AVE
Practice Address - Street 2:PERIODONTAL ASSOCIATES, PA
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3369
Practice Address - Country:US
Practice Address - Phone:843-571-0853
Practice Address - Fax:843-769-7342
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC32041223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics