Provider Demographics
NPI:1093722886
Name:CARTER, CHRISTINA ROSE (DMD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:ROSE
Last Name:CARTER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 E 64TH ST RM 502
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10021-6635
Mailing Address - Country:US
Mailing Address - Phone:212-355-7760
Mailing Address - Fax:
Practice Address - Street 1:205 E 64TH ST RM 502
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-6635
Practice Address - Country:US
Practice Address - Phone:212-355-7760
Practice Address - Fax:212-355-7761
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ212271223P0221X
NY0489741223P0221X, 1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics