Provider Demographics
NPI:1609320142
Name:WESTON J. CARPIAUX, DDS, MC, PC
Entity Type:Organization
Organization Name:WESTON J. CARPIAUX, DDS, MC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WESTON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:CARPIAUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-286-1481
Mailing Address - Street 1:929 FOOTHILL BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:LA VERNE
Mailing Address - State:CA
Mailing Address - Zip Code:91750-3223
Mailing Address - Country:US
Mailing Address - Phone:909-833-7035
Mailing Address - Fax:
Practice Address - Street 1:929 FOOTHILL BLVD STE F
Practice Address - Street 2:
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750-3223
Practice Address - Country:US
Practice Address - Phone:909-833-7035
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA635291223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty