Michael D Carman, D.D.S.
Individual provider Active NPI Dentist · Endicott, NY
NPI 1487878419 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487878419
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 040904 (NY)
- Practice address
- 101 Jefferson Ave
Endicott, NY 13760-5225 - Phone
- (607) 748-7328
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert T Carman PC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 040904 | NY | Yes |
Addresses
Primary practice location
101 Jefferson Ave
Endicott, NY 13760-5225
Mailing address
101 Jefferson Ave
Endicott, NY 13760-5225
Phone (607) 748-7328
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02244764 | Medicaid | NY |
Other providers in Endicott, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.