Provider Demographics
NPI:1609863455
Name:CARSELL, JAMES P (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:P
Last Name:CARSELL
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 1:498 MAIN ST
Mailing Address - Street 2:PO BOX 355
Mailing Address - City:DALTON
Mailing Address - State:MA
Mailing Address - Zip Code:01226-1660
Mailing Address - Country:US
Mailing Address - Phone:413-684-0615
Mailing Address - Fax:413-684-0627
Practice Address - Street 1:498 MAIN ST
Practice Address - Street 2:
Practice Address - City:DALTON
Practice Address - State:MA
Practice Address - Zip Code:01226-1660
Practice Address - Country:US
Practice Address - Phone:413-684-0615
Practice Address - Fax:413-684-0627
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA17412122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist