Provider Demographics
NPI:1841238698
Name:CAPUTO, PAUL V SR (DDS)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:V
Last Name:CAPUTO
Suffix:SR
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 1:3155 BOOK RD
Mailing Address - Street 2:SUITE # 107
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-9545
Mailing Address - Country:US
Mailing Address - Phone:630-922-1311
Mailing Address - Fax:630-922-4212
Practice Address - Street 1:3155 BOOK RD
Practice Address - Street 2:SUITE # 107
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-9545
Practice Address - Country:US
Practice Address - Phone:630-922-1311
Practice Address - Fax:630-922-4212
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice