# BENJAMIN L. CARRICO DMD INC.PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477089019
- **Authorized official:** DEBORAH ANN KUNSELMAN (OFFICE MANAGER)
- **Authorized official phone:** (814) 980-4021

## Contact information

- **Practice address:** 95 MAIN ST, STRATTANVILLE, PA 16258-1903
- **Practice address phone:** (814) 980-4021
- **Practice address fax:** (814) 764-6173
- **Mailing address:** 95 MAIN ST, STRATTANVILLE, PA 16258-1903
- **Mailing address phone:** (814) 980-4021
- **Mailing address fax:** (814) 764-6173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | DS036553 | PA | Yes |

## Other

- **Enumeration date:** 05/02/2017
- **Last updated:** 05/02/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1720106768 | DENTIST | PA |