Provider Demographics
NPI:1851797146
Name:TORNATORE, CARLA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:
Last Name:TORNATORE
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 1:657 WHITE PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:EASTCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10709-5509
Mailing Address - Country:US
Mailing Address - Phone:914-779-9100
Mailing Address - Fax:
Practice Address - Street 1:657 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:EASTCHESTER
Practice Address - State:NY
Practice Address - Zip Code:10709-5509
Practice Address - Country:US
Practice Address - Phone:914-779-9100
Practice Address - Fax:914-779-0403
Is Sole Proprietor?:No
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY044005-11223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry