Provider Demographics
NPI:1518326693
Name:PATRICIA A. CARTA, DMD LLC
Entity Type:Organization
Organization Name:PATRICIA A. CARTA, DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER & PEDIATRIC DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARTA
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:860-347-4681
Mailing Address - Street 1:583 SAYBROOK RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-4718
Mailing Address - Country:US
Mailing Address - Phone:860-347-4681
Mailing Address - Fax:860-344-0286
Practice Address - Street 1:583 SAYBROOK RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4718
Practice Address - Country:US
Practice Address - Phone:860-347-4681
Practice Address - Fax:860-344-0286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT60001223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty