Provider Demographics
NPI:1023677457
Name:CAPOBIANCO, CONNOR (DDS)
Entity type:Individual
Prefix:
First Name:CONNOR
Middle Name:
Last Name:CAPOBIANCO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 GRIFFIN RD STE 2
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7131
Mailing Address - Country:US
Mailing Address - Phone:603-431-8427
Mailing Address - Fax:603-431-8180
Practice Address - Street 1:150 GRIFFIN RD STE 2
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7131
Practice Address - Country:US
Practice Address - Phone:603-431-8427
Practice Address - Fax:603-431-8180
Is Sole Proprietor?:No
Enumeration Date:2019-06-10
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH052221223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery