Provider Demographics
NPI:1336378918
Name:CAPLIN, COURTNEY JEAN (DMD, MD)
Entity Type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:JEAN
Last Name:CAPLIN
Suffix:
Gender:F
Credentials:DMD, MD
Other - Prefix:DR
Other - First Name:COURTNEY
Other - Middle Name:JEAN
Other - Last Name:CAPLIN WOLD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD, MD
Mailing Address - Street 1:2100 NW 63RD ST
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73116-5111
Mailing Address - Country:US
Mailing Address - Phone:405-842-6677
Mailing Address - Fax:
Practice Address - Street 1:2100 NW 63RD ST
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73116-5111
Practice Address - Country:US
Practice Address - Phone:405-842-6677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-05
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN 18637122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist