Provider Demographics
NPI:1477579050
Name:CARRARA & CORSELLO D.M.D.
Entity Type:Organization
Organization Name:CARRARA & CORSELLO D.M.D.
Other - Org Name:MORRISTOWN DENTAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:J
Authorized Official - Last Name:CORSELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:973-538-3456
Mailing Address - Street 1:261 JAMES ST
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-6392
Mailing Address - Country:US
Mailing Address - Phone:973-538-3456
Mailing Address - Fax:973-538-7598
Practice Address - Street 1:261 JAMES ST
Practice Address - Street 2:SUITE 3B
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6392
Practice Address - Country:US
Practice Address - Phone:973-538-3456
Practice Address - Fax:973-538-7598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI16949 & DI169541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty