Provider Demographics
NPI:1982805420
Name:FLAMER-CALDERA, LORNA GAYLE (DDS FAGD)
Entity Type:Individual
Prefix:DR
First Name:LORNA
Middle Name:GAYLE
Last Name:FLAMER-CALDERA
Suffix:
Gender:F
Credentials:DDS FAGD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 WASHINGTON SQUARE WEST
Mailing Address - Street 2:# 1-F
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10011-9126
Mailing Address - Country:US
Mailing Address - Phone:212-420-7680
Mailing Address - Fax:212-254-7356
Practice Address - Street 1:31 WASHINGTON SQUARE WEST
Practice Address - Street 2:# 1-F
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-9126
Practice Address - Country:US
Practice Address - Phone:212-420-7680
Practice Address - Fax:212-254-7356
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04143411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice