Provider Demographics
NPI:1649750183
Name:CARNAGGIO AND PIPER DMD MS PA
Entity Type:Organization
Organization Name:CARNAGGIO AND PIPER DMD MS PA
Other - Org Name:PIEDMONT DENTAL ASSOCIATES TROUTMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:D
Authorized Official - Last Name:GRIFFIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-294-1448
Mailing Address - Street 1:3055 S NC 127 HWY
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8284
Mailing Address - Country:US
Mailing Address - Phone:828-294-1448
Mailing Address - Fax:
Practice Address - Street 1:275 N MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:TROUTMAN
Practice Address - State:NC
Practice Address - Zip Code:28166-9517
Practice Address - Country:US
Practice Address - Phone:704-980-4301
Practice Address - Fax:704-980-4309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC86851223G0001X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty