Provider Demographics
NPI:1891394029
Name:CARVALHO, OLIVER KLINGER (DMD)
Entity Type:Individual
Prefix:DR
First Name:OLIVER
Middle Name:KLINGER
Last Name:CARVALHO
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:DR
Other - First Name:OLIVER
Other - Middle Name:KLINGER
Other - Last Name:CARVALHO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:4 CUNNINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4424
Mailing Address - Country:US
Mailing Address - Phone:617-899-4405
Mailing Address - Fax:
Practice Address - Street 1:21 ELISSA AVE
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-3154
Practice Address - Country:US
Practice Address - Phone:508-358-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18588331223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty