Provider Demographics
NPI:1245301522
Name:CAPPELLI, CHRISTOPHER MICHAEL (DDS)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:MICHAEL
Last Name:CAPPELLI
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 1:235 W PASSAIC ST
Mailing Address - Street 2:APARTMENT C-16
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-3123
Mailing Address - Country:US
Mailing Address - Phone:201-666-8989
Mailing Address - Fax:201-666-8999
Practice Address - Street 1:156 BROADWAY
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:NJ
Practice Address - Zip Code:07642-2034
Practice Address - Country:US
Practice Address - Phone:201-666-8989
Practice Address - Fax:201-666-8999
Is Sole Proprietor?:No
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI021649001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice