Provider Demographics
NPI:1477572790
Name:MURANO, CARL ALPHONSO (DDS)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:ALPHONSO
Last Name:MURANO
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 1:8 SUTTON PT
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-4616
Mailing Address - Country:US
Mailing Address - Phone:585-387-0303
Mailing Address - Fax:
Practice Address - Street 1:14 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:HONEOYE FALLS
Practice Address - State:NY
Practice Address - Zip Code:14472-1114
Practice Address - Country:US
Practice Address - Phone:585-624-1917
Practice Address - Fax:585-624-3721
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038967122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist