Rocco Bernard Carella, DDS

Individual provider Active NPI General Practice Dentistry · North Stonington, CT

NPI 1376665752 · NPPES record last updated May 29, 2013

Key facts

NPI
1376665752
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
041492 (NY)
Practice address
391 Norwich Westerly Road
North Stonington, CT 06359-0287
Phone
(860) 535-2331
NPI assigned
Apr 4, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
041492NYMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 041492 NY Yes

Addresses

Primary practice location

391 Norwich Westerly Road
North Stonington, CT 06359-0287

Mailing address

PO Box 287
391 Norwich Westerly Road
North Stonington, CT 06359-0287
Phone (860) 535-2331

Other providers in North Stonington, CT

All providers in North Stonington, CT · General Practice Dentistry in Connecticut

Sources for this page

Verify at the official NPI Registry.