Provider Demographics
NPI:1043295462
Name:CONTEE-LASSITER, CAROLYN ANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:ANN
Last Name:CONTEE-LASSITER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 HILL HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:WATCHUNG
Mailing Address - State:NJ
Mailing Address - Zip Code:07069-6442
Mailing Address - Country:US
Mailing Address - Phone:908-963-8439
Mailing Address - Fax:
Practice Address - Street 1:STUYVESANT AVENUE
Practice Address - Street 2:ANN KLEIN FORENSIC CENTER
Practice Address - City:WEST TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08628-7717
Practice Address - Country:US
Practice Address - Phone:609-292-0048
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI015463001223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health