Provider Demographics
NPI:1568950749
Name:CAPERS, JAMES BRYANT (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BRYANT
Last Name:CAPERS
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 1:4881 SUGAR MAPLE DRIVE
Mailing Address - Street 2:
Mailing Address - City:WRIGHT-PATTERSON AFB
Mailing Address - State:OH
Mailing Address - Zip Code:45433
Mailing Address - Country:US
Mailing Address - Phone:937-257-8349
Mailing Address - Fax:
Practice Address - Street 1:51 MDG UNIT 2060
Practice Address - Street 2:
Practice Address - City:OSAN AB
Practice Address - State:AP
Practice Address - Zip Code:96278-2060
Practice Address - Country:KR
Practice Address - Phone:315-784-8717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-24
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10742122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist