Dr Henri Paul Carbonneau Jr, DMD is a
Dentist - Orthodontics And Dentofacial Orthopedics based in Andover, Connecticut. Dr Henri Paul Carbonneau Jr is licensed to practice in Connecticut (license number 4052) and his current practice location is
159 Lakeside Dr, Andover, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 742-7144.
NPI number for Dr Henri Paul Carbonneau Jr is 1548374762 and his current mailing address is 159 Lakeside Dr, Andover, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548374762.
Healthcare Provider's Profile
Full Name | Dr Henri Paul Carbonneau Jr |
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Gender | Male |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
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Location | 159 Lakeside Dr, Andover, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1548374762
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 10/02/2012
Medical Identifiers
Medical identifiers for Dr Henri Paul Carbonneau Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1548374762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4052 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Henri Paul Carbonneau Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Henri Paul Carbonneau Jr, DMD 159 Lakeside Dr, Andover, CT 06232-1535 Ph: (860) 742-7144 | Dr Henri Paul Carbonneau Jr, DMD 159 Lakeside Dr, Andover, CT 06232-1535 Ph: (860) 742-7144 |
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