Doctor Name: | DR. ANDREW J KAPUST |
NPI Number: | 1104806918 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.D.S. |
License Number: | 6738 |
Business Practice Address: | 344 Cleveland Ave Se Tumwater, WA - 985013342 |
Business Phone Number: | 3609436600 |
Business Fax Number: | 3607540898 |
Mailing Address: | 344 Cleveland Ave Se, TUMWATER |
State: | WA |
Postal Code: | 985013342 |
Phone Number: | 3609436600 |
Fax Number: | 3607540898 |
NPI Enumeration Date: | 01/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 6738 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |