Alfred Michael Ciletti, DDS
Individual provider Active NPI General Practice Dentistry · Southold, NY
NPI 1861599656 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1861599656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 035117 (NY)
- Practice address
- 44655 County Road 48
Southold, NY 11971-5019 - Phone
- (631) 765-1262
- Fax
- (631) 765-1461
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 035117 | NY | Yes |
Addresses
Primary practice location
44655 County Road 48
Southold, NY 11971-5019
Mailing address
PO Box 312
Southold, NY 11971-0312
Phone (631) 765-1262
Other providers in Southold, NY
- Lynn A Cataldo
- Daniel R Charlebois
- Ellen Charnews
- Steven J.N. Chierchie
- Christian Witherell NP in Psychiatry PLLC
- Cara Clappi
- Vincent Michael Claps
- Saundra L Claud
- Helen M Cochran
- Rosemarie Febles Connolly
All providers in Southold, NY · General Practice Dentistry in New York
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.