Provider Demographics
NPI:1730496746
Name:CARPENTIERI, JOSEPH R (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:R
Last Name:CARPENTIERI
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 1:1230 MAMARONECK AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5229
Mailing Address - Country:US
Mailing Address - Phone:914-684-1230
Mailing Address - Fax:914-684-5849
Practice Address - Street 1:1230 MAMARONECK AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-5229
Practice Address - Country:US
Practice Address - Phone:914-684-1230
Practice Address - Fax:914-684-5849
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0393561223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics