Provider Demographics
NPI:1558109546
Name:KAPPEL, JACQUELINE ANN I (DDS)
Entity type:Individual
Prefix:DR
First Name:JACQUELINE
Middle Name:ANN
Last Name:KAPPEL
Suffix:I
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JACQUELINE
Other - Middle Name:ANN
Other - Last Name:DUQUEMIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:203 29TH AVE NE UNIT 67
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1374
Mailing Address - Country:US
Mailing Address - Phone:682-219-9706
Mailing Address - Fax:
Practice Address - Street 1:505 E PARKER RD
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-5104
Practice Address - Country:US
Practice Address - Phone:682-219-9706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC138721223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice