Provider Demographics
NPI:1629284161
Name:NEUMANN, CAROL MICHELLE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:MICHELLE
Last Name:NEUMANN
Suffix:
Gender:F
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:PO BOX 677
Mailing Address - Street 2:
Mailing Address - City:PALMER
Mailing Address - State:MA
Mailing Address - Zip Code:01069-0677
Mailing Address - Country:US
Mailing Address - Phone:413-283-6521
Mailing Address - Fax:413-289-1980
Practice Address - Street 1:1055 PARK STREET
Practice Address - Street 2:
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069-0677
Practice Address - Country:US
Practice Address - Phone:413-283-6521
Practice Address - Fax:413-289-1980
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA15525122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist