Basic Information
Provider Information
NPI: 1669548129
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KAPLON
FirstName: DENNIS
MiddleName: MICHAEL
NamePrefix: MR.
NameSuffix:  
Credential: BS IN PHARMACY
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 32 DOUGLAS RD
Address2:  
City: DRACUT
State: MA
PostalCode: 018264260
CountryCode: US
TelephoneNumber: 9784590028
FaxNumber:  
Practice Location
Address1: 718 SMYTH RD
Address2: 003
City: MANCHESTER
State: NH
PostalCode: 031047004
CountryCode: US
TelephoneNumber: 6036244366
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/28/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X16183MAN Pharmacy Service ProvidersPharmacist 
183500000XR0668NHY Pharmacy Service ProvidersPharmacist 

No ID Information.


Home