| Peter D Carnicelli Dmd | |
|
185 Hermon St Winthrop MA 02152-3024 | |
| (617) 846-1280 | |
| (617) 846-5691 |
| Full Name | Peter D Carnicelli Dmd |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 185 Hermon St, Winthrop, Massachusetts |
| Authorized Official Name and Position | Peter D Carnicelli (DENTIST/OWNER) |
| Authorized Official Contact | 6178461280 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter D Carnicelli Dmd 185 Hermon St Winthrop MA 02152-3024 Ph: (617) 846-1280 | Peter D Carnicelli Dmd 185 Hermon St Winthrop MA 02152-3024 Ph: (617) 846-1280 |
| NPI Number | 1851551683 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851551683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 12351 (Massachusetts) | Secondary |
| 1223P0300X | Dentist - Periodontics | 12351 (Massachusetts) | Primary |
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