Provider Demographics
NPI:1528604949
Name:PAUL V. CAPUTO SR., D.D.S., P.C.
Entity Type:Organization
Organization Name:PAUL V. CAPUTO SR., D.D.S., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:V
Authorized Official - Last Name:CAPUTO
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS, PC
Authorized Official - Phone:630-922-1311
Mailing Address - Street 1:3155 BOOK RD
Mailing Address - Street 2:STE. 107
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564
Mailing Address - Country:US
Mailing Address - Phone:630-922-1311
Mailing Address - Fax:630-922-4212
Practice Address - Street 1:3155 BOOK RD
Practice Address - Street 2:STE. 107
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564
Practice Address - Country:US
Practice Address - Phone:630-922-1311
Practice Address - Fax:630-922-4212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-20
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty