Provider Demographics
NPI:1952480980
Name:CAPARELLI, KIMBERLY INGLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:INGLE
Last Name:CAPARELLI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5125 OLEANDER DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28403-7065
Mailing Address - Country:US
Mailing Address - Phone:910-392-2920
Mailing Address - Fax:
Practice Address - Street 1:5125 OLEANDER DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-7065
Practice Address - Country:US
Practice Address - Phone:910-392-2920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6831122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
001524490OtherUNITED CONCORDIA
NC89902JKMedicaid