Provider Demographics
NPI:1295869642
Name:CARUSO, HILLARY STEINKE (DMD)
Entity type:Individual
Prefix:DR
First Name:HILLARY
Middle Name:STEINKE
Last Name:CARUSO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 175
Mailing Address - Street 2:8 MAIN STREET
Mailing Address - City:SORRENTO
Mailing Address - State:ME
Mailing Address - Zip Code:04677-0175
Mailing Address - Country:US
Mailing Address - Phone:207-422-3770
Mailing Address - Fax:207-422-6525
Practice Address - Street 1:8 MAIN ST
Practice Address - Street 2:
Practice Address - City:SORRENTO
Practice Address - State:ME
Practice Address - Zip Code:04677
Practice Address - Country:US
Practice Address - Phone:207-422-3770
Practice Address - Fax:207-422-6525
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME37401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice