Provider Demographics
NPI:1871516260
Name:CAPRARA, HARRY JOHN JR (DMD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:JOHN
Last Name:CAPRARA
Suffix:JR
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:H.
Other - Middle Name:JOHN
Other - Last Name:CAPRARA
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:202 INVERNESS CENTER DR
Mailing Address - Street 2:STE. 202
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-7633
Mailing Address - Country:US
Mailing Address - Phone:205-981-3301
Mailing Address - Fax:205-981-3307
Practice Address - Street 1:202 INVERNESS CENTER DR
Practice Address - Street 2:STE. 202
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-7633
Practice Address - Country:US
Practice Address - Phone:205-981-3301
Practice Address - Fax:205-981-3307
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL50411223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51509043OtherBCBS
AL272124OtherUCCI
AL#06989Medicare UPIN