Dr. Robert S Carnevale, D.M.D.
Dentist, Periodontics in New London, CT. Individual provider (NPI-1).
NPI number1811954795
StatusActive
Last updated in NPPESApr 2, 2008
Details
- NPI
- 1811954795
- Entity type
- Individual (NPI-1)
- Name
- Dr. Robert S Carnevale
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2006
- Last updated
- Apr 2, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 7015 | CT | Yes |
| 1223P0300X | Dentist, Periodontics | 2252 | RI |
Practice location
2 Shaws Cv Ste 200New London, CT 06320-4975
Phone 860-443-1114 · Fax 860-889-1794
Mailing address
2 Shaws Cv Ste 200New London, CT 06320-4975
Phone 860-443-1114 · Fax 860-889-1794
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