Provider Demographics
NPI:1497886808
Name:CAPLE, BRENT CLAYTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:BRENT
Middle Name:CLAYTON
Last Name:CAPLE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5204 VILLAGE PKWY STE 14
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8146
Mailing Address - Country:US
Mailing Address - Phone:479-273-6030
Mailing Address - Fax:479-273-6609
Practice Address - Street 1:5204 VILLAGE PKWY STE 14
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8146
Practice Address - Country:US
Practice Address - Phone:479-273-6030
Practice Address - Fax:479-273-6609
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR30731223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry