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NPI Code Detail

MEDICARE: CAROLINE ROSE DEYOE DMD

MEDICARE: CAROLINE ROSE DEYOE DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1215881685
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE ROSE DEYOE DMD
Provider Business Mailing Address
First Line : 10001 CHESTER AVE APT 603
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1637
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 LONGWOOD AVE
Second Line :
City : BOSTON
State : MA
Zip : 02115-5724
Country : US
Telephone Number : 617-355-2224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

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Directions to “ CAROLINE ROSE DEYOE DMD” Practice Location

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