Organization
NICOLE CARNICELLA, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE MARIE CARNICELLA D.M.D. (PRESIDENT)
(814) 355-5252
Entity
Organization
Contact information
Practice address
212 KENLEE DR, BELLEFONTE, PA 16823-2847
(814) 355-5254
(814) 353-0668
Mailing address
212 KENLEE DR, BELLEFONTE, PA 16823-2847
(814) 355-5254
(814) 353-0668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035441
PA
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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