Carmien & Pedavoli Family Dentistry, LLC

Organization Active NPI General Practice Dentistry · Plymouth, IN

NPI 1780446989 · NPPES record last updated Jan 24, 2024

Key facts

NPI
1780446989
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
CARMIEN & PEDAVOLI FAMILY DENTISTRY, LLC
Practice address
850 Columbus Dr
Plymouth, IN 46563-1877
Phone
(574) 963-2527
NPI assigned
Jan 24, 2024
Organization subpart
No

Authorized official

Name
Dr. Matthew Carmien, DDS
Title
Owner/Partner Dentist
Phone
(574) 963-2527

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

850 Columbus Dr
Plymouth, IN 46563
Phone (574) 936-2527

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

850 Columbus Dr
Plymouth, IN 46563-1877

Mailing address

850 Columbus Dr
Plymouth, IN 46563-1877
Phone (574) 963-2527

Other providers in Plymouth, IN

All providers in Plymouth, IN · General Practice Dentistry in Indiana

Sources for this page

Verify at the official NPI Registry.