Organization
FREDERICK J CARBONE DDS LLC
Active
Other names
Frederick J Carbone DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK J CARBONE DDS (OWNER)
(973) 228-0039
Entity
Organization
Contact information
Practice address
157 EAGLE ROCK AVE, ROSELAND, NJ 07068-1353
(973) 228-0039
(973) 228-9073
Mailing address
157 EAGLE ROCK AVE, ROSELAND, NJ 07068-1353
(973) 228-0039
(973) 228-9073
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619986783
NPI FOR FREDERICK J CARBONE DDS
—
01
—
22-2662322
TID FOR FREDERICK J CARBONE DDS
—
Enumeration date
03/20/2024
Last updated
03/20/2024
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