Provider Demographics
NPI:1962384412
Name:DR CAPEN DENTAL CARE, PLLC
Entity type:Organization
Organization Name:DR CAPEN DENTAL CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AUBREE
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:CAPEN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:989-506-4503
Mailing Address - Street 1:305 GOLFSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:MI
Mailing Address - Zip Code:48801-2123
Mailing Address - Country:US
Mailing Address - Phone:989-506-4503
Mailing Address - Fax:
Practice Address - Street 1:911 E STATE ST STE C
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:MI
Practice Address - Zip Code:48879-1684
Practice Address - Country:US
Practice Address - Phone:989-224-2379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental