Provider Demographics
NPI:1013195742
Name:CARTER, TONY JOSEPH (DDS)
Entity Type:Individual
Prefix:DR
First Name:TONY
Middle Name:JOSEPH
Last Name:CARTER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9531 156TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-2828
Mailing Address - Country:US
Mailing Address - Phone:718-848-7878
Mailing Address - Fax:718-848-4374
Practice Address - Street 1:9531 156TH AVE
Practice Address - Street 2:
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-2828
Practice Address - Country:US
Practice Address - Phone:718-848-7878
Practice Address - Fax:718-848-4374
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0248511223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice