Provider Demographics
NPI:1851555668
Name:CAPEHART, CHRISTOPHER (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:CAPEHART
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 1:850 VALLEY RIDGE BLVD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3022
Mailing Address - Country:US
Mailing Address - Phone:972-436-1325
Mailing Address - Fax:972-436-1331
Practice Address - Street 1:850 VALLEY RIDGE BLVD
Practice Address - Street 2:SUITE 112
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-3022
Practice Address - Country:US
Practice Address - Phone:972-436-1325
Practice Address - Fax:972-436-1331
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-11
Last Update Date:2011-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX23913122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist