Provider Demographics
NPI:1366593071
Name:CAPLIN, HARVEY IVAN (DDS)
Entity type:Individual
Prefix:
First Name:HARVEY
Middle Name:IVAN
Last Name:CAPLIN
Suffix:
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 1:111 SMITHTOWN BYPASS
Mailing Address - Street 2:SUITE 217
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2512
Mailing Address - Country:US
Mailing Address - Phone:631-724-0900
Mailing Address - Fax:631-724-0013
Practice Address - Street 1:111 SMITHTOWN BYP
Practice Address - Street 2:SUITE 217
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788-2524
Practice Address - Country:US
Practice Address - Phone:631-724-0900
Practice Address - Fax:631-724-0013
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2403901223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice