Provider Demographics
NPI:1952804767
Name:CARUSO, ALISON MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALISON
Middle Name:MARIE
Last Name:CARUSO
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 1:15 POST OFFICE SQ
Mailing Address - Street 2:
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-2263
Mailing Address - Country:US
Mailing Address - Phone:781-592-1650
Mailing Address - Fax:
Practice Address - Street 1:15 POST OFFICE SQ
Practice Address - Street 2:
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-2263
Practice Address - Country:US
Practice Address - Phone:781-592-1650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-18
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN18578741223G0001X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program