Robert S. Carnevale, Dmd, Pc | |
2 Shaws Cv Suite 200 New London CT 06320-4975 | |
(860) 443-1114 | |
Not Available |
Full Name | Robert S. Carnevale, Dmd, Pc |
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Speciality | Dentist - Periodontics |
Location | 2 Shaws Cv, New London, Connecticut |
Authorized Official Name and Position | Robert S Carnevale (PRESIDENT) |
Authorized Official Contact | 8604431114 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Robert S. Carnevale, Dmd, Pc 2 Shaws Cv Suite 200 New London CT 06320-4975 Ph: (860) 443-1114 | Robert S. Carnevale, Dmd, Pc 2 Shaws Cv Suite 200 New London CT 06320-4975 Ph: (860) 443-1114 |
NPI Number | 1700053709 |
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Provider Enumeration Date | 05/09/2008 |
Last Update Date | 05/09/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700053709 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 7015 (Connecticut) | Primary |
1223P0300X | Dentist - Periodontics | 2252 (Rhode Island) | Secondary |
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