Provider Demographics
NPI:1346311065
Name:CARTIER, MICHELLE T (DDS)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:T
Last Name:CARTIER
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 1:365 COUNTY ROAD 39A
Mailing Address - Street 2:SUITE NUMBER 6
Mailing Address - City:SOUTHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11968-5284
Mailing Address - Country:US
Mailing Address - Phone:631-287-0266
Mailing Address - Fax:631-287-6084
Practice Address - Street 1:365 COUNTY ROAD 39A
Practice Address - Street 2:SUITE NUMBER 6
Practice Address - City:SOUTHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11968-5284
Practice Address - Country:US
Practice Address - Phone:631-287-0266
Practice Address - Fax:631-287-6084
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046109-11223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics