Provider Demographics
NPI:1518093921
Name:CHRISTOPHER CARLONE DDS PC LLC
Entity Type:Organization
Organization Name:CHRISTOPHER CARLONE DDS PC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:C
Authorized Official - Last Name:CARLONE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:860-354-5098
Mailing Address - Street 1:17 PROSPECT HILL RD
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-3714
Mailing Address - Country:US
Mailing Address - Phone:860-354-5098
Mailing Address - Fax:860-350-1700
Practice Address - Street 1:17 PROSPECT HILL RD
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-3714
Practice Address - Country:US
Practice Address - Phone:860-354-5098
Practice Address - Fax:860-350-1700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006608122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty