JEFFREY CARRASQUILLO DMD PLLC NPI 1376765859

NPI Information

JEFFREY CARRASQUILLO DMD PLLC is a general practice dentist in Woodside, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JEFFREY CARRASQUILLO DMD PLLC NPI is 1376765859. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Jeffrey Carrasquillo Dmd.

The provider's business location address is:

66-25 MAURICE AVE
WOODSIDE, NY
ZIP 11372
Phone: (718) 651-5941
Fax: (718) 261-4742

The provider's authorized official is Jeffrey Carrasquillo .
The authorized official title is President and has the following contact phone number (718) 261-0260.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 11/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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