Provider Demographics
NPI:1497857304
Name:CARINI, WILLIAM J (DDS)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:CARINI
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 1:10707 W BELOIT RD
Mailing Address - Street 2:ADVANCED DENTAL TREATMENT CENTER
Mailing Address - City:GREEN FIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53228
Mailing Address - Country:US
Mailing Address - Phone:414-258-9630
Mailing Address - Fax:414-258-1955
Practice Address - Street 1:10707 W BELOIT RD
Practice Address - Street 2:ADVANCED DENTAL TREATMENT CENTER
Practice Address - City:GREEN FIELD
Practice Address - State:WI
Practice Address - Zip Code:53228
Practice Address - Country:US
Practice Address - Phone:414-258-9630
Practice Address - Fax:414-258-1955
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3976122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist