Provider Demographics
NPI:1942300678
Name:CARLOTTI, ALBERT E JR (DDS,LLC)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:E
Last Name:CARLOTTI
Suffix:JR
Gender:M
Credentials:DDS,LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:185 RIVER FARM DR
Mailing Address - Street 2:
Mailing Address - City:EAST GREENWICH
Mailing Address - State:RI
Mailing Address - Zip Code:02818-2127
Mailing Address - Country:US
Mailing Address - Phone:401-884-1056
Mailing Address - Fax:
Practice Address - Street 1:915 OAKLAWN AVE
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-2638
Practice Address - Country:US
Practice Address - Phone:401-490-6500
Practice Address - Fax:401-490-2143
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDEN013391223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery