| Paul Carpinello, Dmd, Msd, Pc | |
|
1041 Pontiac Rd Drexel Hill PA 19026-4816 | |
| (610) 446-6004 | |
| (610) 446-0459 |
| Full Name | Paul Carpinello, Dmd, Msd, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1041 Pontiac Rd, Drexel Hill, Pennsylvania |
| Authorized Official Name and Position | Paul Carpinello (PRESIDENT) |
| Authorized Official Contact | 6104466004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Carpinello, Dmd, Msd, Pc 1041 Pontiac Rd Drexel Hill PA 19026-4816 Ph: (610) 446-6004 | Paul Carpinello, Dmd, Msd, Pc 1041 Pontiac Rd Drexel Hill PA 19026-4816 Ph: (610) 446-6004 |
| NPI Number | 1558894113 |
|---|---|
| Provider Enumeration Date | 04/10/2017 |
| Last Update Date | 04/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558894113 | NPI | - | NPPES |
| 103118580 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS025439L (Pennsylvania) | Primary |
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