Provider Demographics
NPI:1083837702
Name:CARP DENTAL ASSOCIATES P.C.
Entity Type:Organization
Organization Name:CARP DENTAL ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-275-1565
Mailing Address - Street 1:PO BOX 311
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-0006
Mailing Address - Country:US
Mailing Address - Phone:214-459-7703
Mailing Address - Fax:855-681-7345
Practice Address - Street 1:1325 W AIRY ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401
Practice Address - Country:US
Practice Address - Phone:610-405-4403
Practice Address - Fax:610-879-3710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS029774L1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty